Individual
DEANA MARIE VAVERCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
106 WISTERIA LN, ARCHBALD, PA 18403-1980
(570) 840-1952
Mailing address
106 WISTERIA LN, ARCHBALD, PA 18403-1980
(570) 840-1952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP015506
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015506
PA
363LP2300X
Primary Care Nurse Practitioner
SP015506
PA
Other
Enumeration date
10/23/2015
Last updated
03/03/2022
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