Individual
MS. MARY ANN ROMANYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2290
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F301832-1
NY
363L00000X
Nurse Practitioner
Primary
VP004279C
PA
363LA2200X
Adult Health Nurse Practitioner
VP004279-C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01734069
—
NY
01
—
500013348
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039823
PA MEDICARE GROUP
PA
Enumeration date
02/14/2006
Last updated
04/07/2021
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