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NPI Code Detail

MEDICARE: AMELIA PREZKOP

MEDICARE:   AMELIA  PREZKOP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP036194PA

General Provider Information

NPI Number : 1033043351
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA PREZKOP
Provider Business Mailing Address
First Line : 20 FARMHOUSE RD
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-1725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 FARMHOUSE RD
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-1725
Country : US
Telephone Number : 570-855-4936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ AMELIA PREZKOP ” Practice Location

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