Doctor Name: | DELLA M. WERNER |
NPI Number: | 1184058638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012993 |
Business Practice Address: | 214 Peach Orchard Rd Mc Connellsburg, PA - 172338559 |
Business Phone Number: | 7174853155 |
Business Fax Number: | |
Mailing Address: | 20033 Trough Creek Valley Pike, MAPLETON DEPOT |
State: | PA |
Postal Code: | 170529642 |
Phone Number: | 8144483856 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2013 |
NPI Last Update Date: | 09/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP012993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |