Healthcare Provider Details

I. General information

NPI: 1912630062
Provider Name (Legal Business Name): KIRSTEN ABBY BAUSINGER DNP,MBA,CRNP,WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 ROUTE 220 HWY
MUNCY PA
17756-7568
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-368-2870
  • Fax: 570-368-4463
Mailing address:
  • Phone: 570-368-2870
  • Fax: 570-368-4463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP036478
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN637967
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036478
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: