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NPI Code Detail

MEDICARE: SPENCER RYBINSKI CRNA

MEDICARE: SPENCER RYBINSKI CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN652148PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RY465744OTHERPAMEDICARE

General Provider Information

NPI Number : 1902288053
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER RYBINSKI CRNA
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-808-7850
Fax Number : 570-808-7855
Provider Business Practice Location Address
First Line : 1000 E MOUNTAIN DR
Second Line :
City : WILKES BARRE
State : PA
Zip : 18711-0027
Country : US
Telephone Number : 570-808-7850
Fax Number : 570-808-7855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2015
Last Update Date : 01/05/2026

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Directions to “ SPENCER RYBINSKI CRNA” Practice Location

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