Individual
SUSAN M BISTARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 340-2977
Mailing address
233 W 1ST ST, WACONIA, MN 55387-1302
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN172224L
PA
Other
Enumeration date
06/07/2006
Last updated
07/02/2010
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