Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC003960L | PA |
NPI | 1598817371 |
---|---|
Provider Name | Dr. Ursula Catherine Miele |
First Address | Williamsport, PA 17701-3944 |
Second Address | Williamsport, PA 17701-3944 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
580998 | BLUE SHIELDHIGHMARK (01) | PA |
817162 | FIRST PRIORITY HEALTH (01) | PA |
U02523 | (02) | PA |