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NPI Code Detail

MEDICARE: NICHOLAS YATSKO

MEDICARE: NICHOLAS YATSKO
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
1163W00000XRegistered NurseRN577898PA

General Provider Information

NPI Number : 1316470008
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS YATSKO
Provider Business Mailing Address
First Line : 301 SUNSHINE RD
Second Line :
City : SHICKSHINNY
State : PA
Zip : 18655-2907
Country : US
Telephone Number : 570-417-5504
Fax Number : 570-542-7877
Provider Business Practice Location Address
First Line : 1111 E END BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0030
Country : US
Telephone Number : 570-417-5504
Fax Number : 570-542-7877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2017
Last Update Date : 02/06/2026

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Directions to “ NICHOLAS YATSKO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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