Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 37949 | KY |
Y | 2080P0210X | Pediatric Nephrologist | MD438642 | PA |
NPI | 1194825059 |
---|---|
Provider Name | Dianne G Muchant |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 08/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001425982 | (05) | PA |
200440950 | (05) | IN |
64066269 | (05) | KY |
F05871 | (02) |