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NPI Code Detail

MEDICARE: MISS ALLISON ROSE SUPRANOWICZ PA-C

MEDICARE: MISS ALLISON ROSE SUPRANOWICZ PA-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
1363A00000XPhysician AssistantOA007674PA

General Provider Information

NPI Number : 1265183552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON ROSE SUPRANOWICZ PA-C
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 1 HOSPITAL DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-9350
Country : US
Telephone Number : 570-522-2640
Fax Number : 570-768-3921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2022
Last Update Date : 06/19/2026

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Directions to “ MISS ALLISON ROSE SUPRANOWICZ PA-C” Practice Location

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