Doctor Name: | MRS. JOANNA MARTIN GUNNETT |
NPI Number: | 1649402280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP010353 |
Business Practice Address: | 132 Abigail Ln Mail Stop 57-00 Port Matilda, PA - 168707153 |
Business Phone Number: | 8142727100 |
Business Fax Number: | 8142726509 |
Mailing Address: | 132 Abigail Ln, Mail Stop 57-00 PORT MATILDA |
State: | PA |
Postal Code: | 168707153 |
Phone Number: | 8142727100 |
Fax Number: | 8142726509 |
NPI Enumeration Date: | 08/16/2009 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP010353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |