Mary Jane Miskovsky, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

VP004200C Issued in PA

Practice address

800 Linden Street
University of Scranton Student Health Service
Scranton, PA 18510

Phone

(570) 941-7667

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1669620043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 4TH ST",
            "city": "VANDLING",
            "state": "PA",
            "postal_code": "184211726",
            "telephone_number": "570-785-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LINDEN STREET",
            "address_2": "UNIVERSITY OF SCRANTON STUDENT HEALTH SERVICE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18510",
            "telephone_number": "570-941-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOVSKY",
        "first_name": "MARY JANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP004200C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Minora, M.D.
• Mariam Mir, M.D.
• Sara Laura Miraglia
• Salman Sikandar Mirza, DO
• Sabnam Mishra
• Carla Marie Mitchell
• Jennifer Mitchell, MS, OTR/L, CBIS
• Kelly Mitchell
• Linda Mitchell, CRNA
• MLC Nutrition, LLC

• Adult Health Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.