Doctor Name: | MR. GREGG CHEATHAM ORR |
NPI Number: | 1639256860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | SP009066 |
Business Practice Address: | 2080 Northview Dr Irwin, PA - 156421406 |
Business Phone Number: | 7248643510 |
Business Fax Number: | |
Mailing Address: | 2080 Northview Dr, IRWIN |
State: | PA |
Postal Code: | 156421406 |
Phone Number: | 7248643510 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | SP009066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |