Doctor Name: | AMY D. CRISCITELLO |
NPI Number: | 1134452055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP010448 |
Business Practice Address: | 1033 Turnpike Ave Suite 300 Clearfield, PA - 168303061 |
Business Phone Number: | 8147682137 |
Business Fax Number: | |
Mailing Address: | 1348 Ginter Morann Hwy, HOUTZDALE |
State: | PA |
Postal Code: | 166519541 |
Phone Number: | 8145535173 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2009 |
NPI Last Update Date: | 02/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | SP010448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |