Doctor Name: | MS. JUANITA J COMP |
NPI Number: | 1003845645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC |
License Number: | RN136955L |
Business Practice Address: | 112 Coldbrook Ave Chambersburg, PA - 17201 |
Business Phone Number: | 7172677480 |
Business Fax Number: | 7172677790 |
Mailing Address: | 2512 Sherry Dr, CHAMBERSBURG |
State: | PA |
Postal Code: | 172018395 |
Phone Number: | 7177094789 |
Fax Number: | 7172677790 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0807X |
License Number: | RN136955L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |