Individual
MS. AUDREY MAE BIRSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1699
(570) 888-5858
Mailing address
23 OAK DR, MOUNTAIN TOP, PA 18707-1808
(570) 204-4606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8094
CT
363LF0000X
Family Nurse Practitioner
Primary
SP011708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029030860002
—
PA
Enumeration date
10/14/2011
Last updated
03/16/2021
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