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Port Allegany Area Family Practice Pc
Family Nurse Practitioner in Port Allegany, Pennsylvania
NPI 1962469486

Port Allegany Area Family Practice Pc is a Family Nurse Practitioner based in Port Allegany, PA and is specialized in Family. Port Allegany Area Family Practice Pc practices in Port Allegany, PA. The NPI Number for Port Allegany Area Family Practice Pc is 1962469486 and holds a License No. MD029656E (Pennsylvania).

The current practice location address for Port Allegany Area Family Practice Pc is 1 Willow St, Port Allegany, PA and can be reached out via phone at 814-642-9531 and via fax at 814-642-2020.

Location: 1 Willow St, Port Allegany, PA, 16743-1332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962469486
Provider Name
Port Allegany Area Family Practice Pc
Credential
Provider Entity Type
Organization
Address
1 Willow St, Port Allegany, PA, 16743-1332
Phone Number
814-642-9531
Fax Number
814-642-2020
Provider Enumeration Date
04/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CF9006 01 RAILROAD MEDICARE
0014032880001 05 PA
861827 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1 Willow St
City
Port Allegany
State
Pennsylvania
Zip
16743-1332
Phone Number
814-642-9531
Fax Number
814-642-2020
person
Provider Business Mailing Address Details
Address
1 Willow St
City
Port Allegany
State
Pennsylvania
Zip
16743-1332
Phone Number
814-642-9531
Fax Number
814-642-2020
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
SP008214 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
MA053689 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
MD029656E (Pennsylvania)
Definition
Definition to come...
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