Healthcare Provider Details

I. General information

NPI: 1730143090
Provider Name (Legal Business Name): BECKY MARIE VOZAR CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BECKY MARIE LINDGREN RN

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3058 LEECHBURG ROAD SUITE 1
LOWER BURRELL PA
15068
US

IV. Provider business mailing address

3058 LEECHBURG ROAD SUITE 1
LOWER BURRELL PA
15068
US

V. Phone/Fax

Practice location:
  • Phone: 724-337-3400
  • Fax: 724-337-3119
Mailing address:
  • Phone: 724-337-3400
  • Fax: 724-337-3119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP005130B
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN300352L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: