Healthcare Provider Details

I. General information

NPI: 1306867858
Provider Name (Legal Business Name): ANNE PRYZBYLKOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE MEIER CRNP

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S DUKE ST
LANCASTER PA
17602-4509
US

IV. Provider business mailing address

625 S DUKE ST
LANCASTER PA
17602-4509
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-6371
  • Fax: 717-397-8881
Mailing address:
  • Phone: 717-299-6371
  • Fax: 717-397-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP006421B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: