Michelle M Witherow
Individual provider Active NPI Home Health Agency · Gardners, PA
NPI 1316110992 · NPPES record last updated Apr 4, 2008
Key facts
- NPI
- 1316110992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 92797683 (PA)
- Practice address
- 1065 Myerstown Rd
Gardners, PA 17324-9037 - Phone
- (717) 323-0321
- Fax
- (717) 323-0322
- NPI assigned
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92797683 | PA | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 92797683 | PA | Yes |
Addresses
Primary practice location
1065 Myerstown Rd
Gardners, PA 17324-9037
Mailing address
1065 Myerstown Rd
Gardners, PA 17324-9037
Phone (717) 323-0321
Other providers in Gardners, PA
All providers in Gardners, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.