Doctor Name: | PHYLLIS TERESE LAW |
NPI Number: | 1386093250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP016125 |
Business Practice Address: | 1200 Brooks Ln Suite 180 Jefferson Hills, PA - 150253747 |
Business Phone Number: | 4124693600 |
Business Fax Number: | 4124693630 |
Mailing Address: | 1200 Brooks Ln, Suite 180 JEFFERSON HILLS |
State: | PA |
Postal Code: | 150253747 |
Phone Number: | 4124693600 |
Fax Number: | 4124693630 |
NPI Enumeration Date: | 06/10/2016 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP016125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |