Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | SP014609 | PA |
NPI | 1023408663 |
---|---|
Provider Name | Mrs. Sarah Beth Curtis |
First Address | Hershey, PA 17033-0858 |
Second Address | Harrisburg, PA 17112-3247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2015 |
Last Update Date | 06/05/2016 |