Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | SP001803H | PA |
NPI | 1083624332 |
---|---|
Provider Name | Ms. Faith H Joyce |
First Address | Coatesville, PA 19320-2040 |
Second Address | Coatesville, PA 19320-2040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 15/10/2009 |