Doctor Name: | ERIC LOUIE |
NPI Number: | 1134512338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | SP014785 |
Business Practice Address: | 71 Hospital Dr Towanda, PA - 188489702 |
Business Phone Number: | 5702656300 |
Business Fax Number: | 5702682807 |
Mailing Address: | 71 Hospital Dr, Suite 120 TOWANDA |
State: | PA |
Postal Code: | 188489702 |
Phone Number: | 5702656300 |
Fax Number: | 5702682807 |
NPI Enumeration Date: | 03/11/2015 |
NPI Last Update Date: | 05/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP014785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |