Basic Information
| Provider Information | |||||||||
| NPI: | 1083604201 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOLDSMITH | ||||||||
| FirstName: | ALVERDA | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3750 ROUTE 6 | ||||||||
| Address2: | |||||||||
| City: | KANE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 167353044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148377944 | ||||||||
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| Practice Location | |||||||||
| Address1: | ERPG PLATT FAMILY PRACTICE | ||||||||
| Address2: | 121 EAST ARCH STREET | ||||||||
| City: | ST MARYS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148342850 | ||||||||
| FaxNumber: | 8147811580 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | UP000587C | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.