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NPI Code Detail

MEDICARE: NATALIE MARIE WASKO

MEDICARE:   NATALIE MARIE WASKO
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
1363L00000XNurse PractitionerSP034964PA
2363LF0000XFamily Nurse PractitionerSP034964PA

General Provider Information

NPI Number : 1255299681
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE MARIE WASKO
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-416-1816
Fax Number : 570-416-1810
Provider Business Practice Location Address
First Line : 2407 REICHART RD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-8969
Country : US
Telephone Number : 570-416-1816
Fax Number : 570-416-1810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 03/10/2026

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Directions to “ NATALIE MARIE WASKO ” Practice Location

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