Individual
KELLY SABALUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
515 JERSEYTOWN RD, MILLVILLE, PA 17846-8825
(570) 458-5597
(570) 458-5114
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019126
PA
363LF0000X
Family Nurse Practitioner
SP019126
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP019126
PA CRNP LICENSE
PA
Enumeration date
09/18/2018
Last updated
12/22/2021
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