Individual
MS. JANE HALUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F301060-1
NY
363L00000X
Nurse Practitioner
Primary
TP003151C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02394576
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039818
MEDICARE GROUP
NY
01
—
P00393468
RR MEDICARE PIN
PA
Enumeration date
03/22/2006
Last updated
07/29/2011
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