Individual
DAVID B KASPRZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
229 W BROAD ST, TAMAQUA, PA 18252-1818
(570) 657-1634
Mailing address
10 W WHITE BEAR DR, SUMMIT HILL, PA 18250-1728
(570) 657-1634
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
RN289685L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP025725
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP025725
CRNP
PA
Enumeration date
04/19/2013
Last updated
06/08/2022
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