Susquehanna Physician Services in Williamsport - Nurse Practitioner
Susquehanna Physician Services - NPI 1891714945
Susquehanna Physician Services is a Nurse Practitioner in Williamsport, Pennsylvania. Susquehanna Physician Services practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susquehanna Physician Services is 1891714945. The last update date is 2009-05-26.
Susquehanna Physician Services's current location address is 1100 Grampian Blvd, Williamsport, Pennsylvania. You can contact this provider via phone number 5703207652 and fax number 5703207651. The mailing address for Susquehanna Physician Services is 1100 Grampian Blvd, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susquehanna Physician Services |
|---|---|
| Address | 1100 Grampian Blvd, Williamsport, Pennsylvania |
| Phone Number | 5703207652 |
| Fax Number | 5703207651 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Santangelo Charles |
| Telephone Number | 5703213171 |
NPI Number Detail
| NPI Number | 1891714945 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2009-05-26 |
Provider Mailing Address Detail
| Address | 1100 Grampian Blvd |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177011909 |
| Phone Number | 5703207652 |
| Fax Number | 5703207651 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17300760167 | PA | -- | |
| 1665638 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susquehanna Physician Services?
The Susquehanna Physician Services has been issued the NPI (National Provider Identifier) 1891714945 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Susquehanna Physician Services's physical address?
The Susquehanna Physician Services is physically located at 1100 Grampian Blvd, in the city of Williamsport, PA, with the postal code 177011909.
What is Susquehanna Physician Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susquehanna Physician Services's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Susquehanna Physician Services receive its 1891714945 assignment from the Centers for Medicare & Medicaid Services?
The Susquehanna Physician Services was assigned its 1891714945 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information regarding Susquehanna Physician Services most recently updated?
The details pertaining to the Susquehanna Physician Services, including its address, specialty, and other relevant information, were last refreshed on 2009-05-26.