Individual
MS. ELIZABETH KULL CZAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
7 WATER ST, WELLSBORO, PA 16901-1126
(570) 724-4241
(570) 724-5510
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F331424-1
NY
363L00000X
Nurse Practitioner
Primary
SP003877B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01678028
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039777
MEDICARE GROUP
PA
Enumeration date
03/16/2006
Last updated
03/27/2008
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