Provider Demographics
NPI:1669605242
Name:PARIS PREFERRED FAMILY HEALTH
Entity type:Organization
Organization Name:PARIS PREFERRED FAMILY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:724-414-5013
Mailing Address - Street 1:PO BOX 692
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-5692
Mailing Address - Country:US
Mailing Address - Phone:724-414-5013
Mailing Address - Fax:724-414-5036
Practice Address - Street 1:86 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BURGETTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15021-8529
Practice Address - Country:US
Practice Address - Phone:724-414-5013
Practice Address - Fax:724-414-5036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty