Organization
MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARY ZIDERS RNC, BSN, CRNP (NEONATAL NURSE PRACTITIONER)
(814) 534-9267
Entity
Organization
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9267
Mailing address
2905 BENJAMIN CT, MOON TOWNSHIP, PA 15108-7726
(412) 264-6563
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
VP003339 J
PA
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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