Individual provider · Type 1 NPI

Susan Kupstas, CRNP

Family Nurse Practitioner · Wilkes Barre, PA

NPI number 1104710581 Active

Practice location

169 N Pennsylvania Ave
Wilkes Barre, PA 18701-3603

Fax (570) 230-0013

Mailing address

298 Ridge St
Hanover Township, PA 18706-3037

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN631817 (PA)
Family Nurse Practitioner Primary 363LF0000XSP033418 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1104710581

Susan Kupstas, CRNP's National Provider Identifier is 1104710581, issued on Jun 9, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Jul 31, 2025.