DYSAUTONOMIA MANAGEMENT CENTER NPI 1407795677

NPI Information

  • NPI: 1407795677
  • Provider Name: DYSAUTONOMIA MANAGEMENT CENTER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 18 BURNS RD
    SPRING GROVE, PA
    ZIP 17362
  • Phone: (443) 692-7991

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NPI Details

DYSAUTONOMIA MANAGEMENT CENTER is a family nurse practitioner in Spring Grove, PA. DYSAUTONOMIA MANAGEMENT CENTER NPI is 1407795677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18 BURNS RD
SPRING GROVE, PA
ZIP 17362-359
Phone: (443) 692-7991

The provider's authorized official is Elizabeth Clark .
The authorized official title is Owner and has the following contact phone number (330) 319-1536.

The enumeration date for this NPI number is 3/25/2026 and was last updated on 3/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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