| Doctor Name: | MATTIE C VERBIT |
| NPI Number: | 1770520710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | SP007852 |
| Business Practice Address: | 111 Nason Dr Ste 103 Roaring Spring, PA - 166731212 |
| Business Phone Number: | 8142242213 |
| Business Fax Number: | |
| Mailing Address: | 111 Nason Dr Ste 103, ROARING SPRING |
| State: | PA |
| Postal Code: | 166731212 |
| Phone Number: | 8142242213 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP007852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |