Individual
SUSAN ELCZYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8259
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
051655
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN249988L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430070678
RR MEDICARE
PA
Enumeration date
11/21/2005
Last updated
08/05/2020
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