Individual
MRS. WENDY MURIEL FISCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2852
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024200
PA
363LA2200X
Adult Health Nurse Practitioner
309453
NY
363LA2200X
Adult Health Nurse Practitioner
SP024200
PA
Other
Enumeration date
10/12/2019
Last updated
12/21/2021
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