Healthcare Provider Details

I. General information

NPI: 1598734303
Provider Name (Legal Business Name): DONNEL M APUZZIO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 JPM RD
LEWISBURG PA
17837-9313
US

IV. Provider business mailing address

137 JPM RD
LEWISBURG PA
17837-9313
US

V. Phone/Fax

Practice location:
  • Phone: 866-995-3937
  • Fax: 570-538-1969
Mailing address:
  • Phone: 570-523-3937
  • Fax: 570-538-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA003302
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA003302
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: