Barbara Mazurkivich

Individual provider Active NPI Community Health Worker · Exeter, PA

NPI 1114308244 · NPPES record last updated Sep 21, 2015

Key facts

NPI
1114308244
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1262 Wyoming Ave
Exeter, PA 18643-1454
Phone
(570) 861-9045
Fax
(570) 602-4100
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1262 Wyoming Ave
Exeter, PA 18643-1454

Mailing address

213 Montgomery Ave
West Pittston, PA 18643-2136
Phone (570) 861-9045

Other providers in Exeter, PA

All providers in Exeter, PA · Community Health Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.