Doctor Name: | MRS. LINDA MARANOWSKI PHILLIPS |
NPI Number: | 1417909391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-CERTIFIED |
License Number: | MA000081L |
Business Practice Address: | 136 S Pine Ave Box 340 Stoystown, PA - 155636002 |
Business Phone Number: | 8148935568 |
Business Fax Number: | 8148935989 |
Mailing Address: | 430 Stonycreek St, BOSWELL |
State: | PA |
Postal Code: | 155311024 |
Phone Number: | 8146295612 |
Fax Number: | 8146297199 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA000081L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |