Individual
SUSAN PETOKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
820 S WASHINGTON AVE, SCRANTON, PA 18505-1639
(570) 595-4496
(570) 961-3844
Mailing address
15 PUBLIC SQ STE 600, WILKES BARRE, PA 18701-1704
(570) 826-1777
(570) 823-3450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP001243B
PA
363LF0000X
Family Nurse Practitioner
SP001243B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007678420035
—
PA
05
—
1007678420050
—
PA
05
—
1026041580002
—
PA
05
—
102604158004
—
PA
05
—
102604158005
—
PA
Enumeration date
08/12/2010
Last updated
08/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us