Doctor Name: | MS. JULIANNE A HUNISCH |
NPI Number: | 1053699355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP011496 |
Business Practice Address: | 611 Morgan Highway Clarks Summit, PA - 18411 |
Business Phone Number: | 5705866637 |
Business Fax Number: | 5705870547 |
Mailing Address: | 611 Morgan Highway, CLARKS SUMMIT |
State: | PA |
Postal Code: | 18411 |
Phone Number: | 5705866637 |
Fax Number: | 5705870547 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP011496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |