Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP020111 | PA |
Y | 363LG0600X | Nurse Practitioner - Gerontology | SP020111 | PA |
NPI | 1295393213 |
---|---|
Provider Name | Eunhwa Hong |
First Address | Lansdale, PA 19446-5359 |
Second Address | Lansdale, PA 19446-5359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2019 |
Last Update Date | 01/11/2019 |