Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP023335 | PA |
NPI | 1033704051 |
---|---|
Provider Name | Mr. Frank Golden |
First Address | Bethlehem, PA 18018-2518 |
Second Address | Stroudsburg, PA 18360-1323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2021 |
Last Update Date | 02/03/2021 |