Individual
MR. BRIAN D SHIPTOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
6454 RT 405 HWY, SCI-MUNCY, MUNCY, PA 17756
(570) 546-3171
Mailing address
PO BOX 180, SCI-MUNCY, MUNCY, PA 17756
(570) 546-3171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP008449
PA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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