Healthcare Provider Details

I. General information

NPI: 1629884887
Provider Name (Legal Business Name): WILLIAM J CUTTLER PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 BIRCH ST
DRUMS PA
18222-2160
US

IV. Provider business mailing address

1 OAKWOOD DR
SCRANTON PA
18504-9503
US

V. Phone/Fax

Practice location:
  • Phone: 570-525-5237
  • Fax: 570-260-9704
Mailing address:
  • Phone: 570-525-5237
  • Fax: 570-260-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP031498
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: