Individual provider · Type 1 NPI
Susan Petokas, CRNP
Nurse Practitioner · Scranton, PA
Practice location
820 S Washington Ave
Scranton, PA 18505-1639
Fax (570) 961-3844
Mailing address
15 Public Sq Ste 600
Wilkes Barre, PA 18701-1704
Other practice locations
- 10 W Chestnut St Ste 9, Hazleton, PA 18201-6419 · (570) 826-1777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP001243B (PA) |
| Nurse Practitioner Primary | 363L00000X | SP001243B (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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- Jordyn D. Noullet, CRNPNurse Practitioner Scranton, PA NPI 1013636265
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- Jennifer Kay Nicolella, CRNPNurse Practitioner Scranton, PA NPI 1043910243
About NPI 1467767590
Susan Petokas, CRNP's National Provider Identifier is 1467767590, issued on Aug 12, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Scranton, PA. The record was last updated on Aug 16, 2024.