MEDICARE: BRENDA ZAVISTOSKI RN

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
1	163W00000X	Registered Nurse	RN311726L	PA

General Provider Information

NPI Number	:	1437974672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ZAVISTOSKI RN

Provider Business Mailing Address
First Line	:	1240 WOODBERRY DR
Second Line	:
City	:	MOUNTAIN TOP
State	:	PA
Zip	:	18707-9298
Country	:	US
Telephone Number	:	570-878-7102
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 WOODBERRY DR
Second Line	:
City	:	MOUNTAIN TOP
State	:	PA
Zip	:	18707-9298
Country	:	US
Telephone Number	:	570-878-7102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	11/21/2024

Similar Medicare Providers

1174309504 — TAILORED HEALTHCARE SOLUTIONS LLC
Practice Location Address:

9298 ROUND TOP RD
CINCINNATI, OH
45251-2510

Practice Phone: 513-312-7036
Practice Fax:

1699632661 — MS. TAYLOR LAWRENCE
Practice Location Address:

9298 ROUND TOP RD
CINCINNATI, OH
45251-2510

Practice Phone: 513-312-7036
Practice Fax:

1720769169 — ASHLEY MCANDREW LPC
Practice Location Address:

54 N MOUNTAIN BLVD
MOUNTAIN TOP, PA
18707-1117

Practice Phone: 570-762-6358
Practice Fax:

1518817287 — KILEY ROGAN LPC
Practice Location Address:

54 N MOUNTAIN BLVD
MOUNTAIN TOP, PA
18707-1117

Practice Phone: 570-762-6358
Practice Fax:

1821094145 — DR. WILLIAM RAYMOND TOMALINAS III D.C.
Practice Location Address:

685 S MOUNTAIN BLVD
MOUNTAIN TOP, PA
18707-9603

Practice Phone: 570-868-3527
Practice Fax:

1396745568 — ALIASGAR CHITTALIA MD
Practice Location Address:

35 S MOUNTAIN BLVD
MOUNTAIN TOP, PA
18707-1122

Practice Phone: 570-474-5978
Practice Fax: 570-474-5485

Directions to “ BRENDA ZAVISTOSKI RN” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.