Individual
CHRISTINE RITA WYSOCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 N VINE ST, HAZLETON, PA 18201-5852
(570) 454-0500
Mailing address
72 LIONS DR, DRUMS, PA 18222-2336
(570) 751-3028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
607823
PA
363LF0000X
Family Nurse Practitioner
Primary
SP022285
PA
Other
Enumeration date
07/15/2020
Last updated
09/23/2025
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