Healthcare Provider Details

I. General information

NPI: 1003499823
Provider Name (Legal Business Name): FELICIA RZESZEWSKI DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MULBERRY ST
SCRANTON PA
18510-2369
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-8259
  • Fax: 570-703-7250
Mailing address:
  • Phone: 570-703-8259
  • Fax: 570-703-7250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN671734
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: