Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | TP 005241 U | PA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | TP 005241 U | PA |
NPI | 1548286149 |
---|---|
Provider Name | William C Barefoot |
First Address | Abington, PA 19001-3800 |
Second Address | Abington, PA 19001-3800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 31/05/2012 |