Doctor Name: | MRS. JOANNE WHARY |
NPI Number: | 1043229040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,CRNP |
License Number: | SP007617 |
Business Practice Address: | 845 Fishburn Rd Hershey, PA - 170332015 |
Business Phone Number: | 7175318181 |
Business Fax Number: | 7175313509 |
Mailing Address: | 3109 Windsor Dr, LANDISVILLE |
State: | PA |
Postal Code: | 175381363 |
Phone Number: | 7178983070 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP007617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |