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NPI Code Detail

MEDICARE: KAYLA MARIE SCHRECKENGOST NP-C

MEDICARE: KAYLA MARIE SCHRECKENGOST NP-C
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
1363LG0600XGerontology Nurse PractitionerSP020370PA

General Provider Information

NPI Number : 1043865512
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MARIE SCHRECKENGOST NP-C
Provider Business Mailing Address
First Line : 1919 LEASURE RUN RD
Second Line :
City : ROCHESTER MILLS
State : PA
Zip : 15771-7523
Country : US
Telephone Number : 814-952-2841
Fax Number :
Provider Business Practice Location Address
First Line : 700 LEONARD ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-3245
Country : US
Telephone Number : 814-765-7545
Fax Number : 814-765-9745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/01/2019

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