Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP007421 | PA |
NPI | 1023037785 |
---|---|
Provider Name | Ms. Christine Louise Hooper |
First Address | Langhorne, PA 19047-1816 |
Second Address | Langhorne, PA 19047-1816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 22/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q08866 | (02) | PA |