Doctor Name: | ANITA NAGPAL |
NPI Number: | 1316908742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | MA051553 |
Business Practice Address: | 604 Fox Hollow Circle Muncy, PA - 17756 |
Business Phone Number: | 5705465009 |
Business Fax Number: | 5705464165 |
Mailing Address: | Po Box 89, MUNCY |
State: | PA |
Postal Code: | 17756 |
Phone Number: | 5705465009 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/23/2015 |
NPI Reactivation Date: | 11/10/2015 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA051553 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |