Provider Demographics
NPI:1306842513
Name:SKRYPAK, SUZANNE LYNN (CRNP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:LYNN
Last Name:SKRYPAK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9720
Mailing Address - Country:US
Mailing Address - Phone:724-229-3300
Mailing Address - Fax:724-229-0975
Practice Address - Street 1:86 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9720
Practice Address - Country:US
Practice Address - Phone:724-229-3300
Practice Address - Fax:724-229-0975
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003054B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S68597Medicare UPIN
PA875375Medicare PIN