Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP011287 | PA |
NPI | 1003105362 |
---|---|
Provider Name | Pamela Geary |
First Address | Johnstown, PA 15905-4110 |
Second Address | Johnstown, PA 15905-4110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 08/10/2020 |