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NPI Code Detail

MEDICARE: MARIA CELESTE KLOSTIK CRNP

MEDICARE:   MARIA CELESTE KLOSTIK  CRNP
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
1363LF0000XFamily Nurse PractitionerSP013233PA
2363LP2300XPrimary Care Nurse PractitionerSP013233PA

General Provider Information

NPI Number : 1730516873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CELESTE KLOSTIK CRNP
Provider Business Mailing Address
First Line : 4400 PENN AVE
Second Line :
City : SINKING SPRING
State : PA
Zip : 19608-8621
Country : US
Telephone Number : 610-670-2522
Fax Number : 610-670-7736
Provider Business Practice Location Address
First Line : 4400 PENN AVE
Second Line :
City : SINKING SPRING
State : PA
Zip : 19608-8621
Country : US
Telephone Number : 610-670-2522
Fax Number : 610-670-7736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 09/13/2021

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Directions to “ MARIA CELESTE KLOSTIK CRNP” Practice Location

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