Individual
KRISTIE MARIE ANZULAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3 HOSPITAL DR, SUITE 202, LEWISBURG, PA 17837-9362
(570) 522-4279
(570) 522-2193
Mailing address
805 ELM ST, WATSONTOWN, PA 17777-1407
(570) 538-4381
(570) 538-4381
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009132
PA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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