| Carole L Willson, CRNP | |
| 503 Sunset Dr, Olyphant, PA 18447-1323 | |
| (570) 342-7864 | |
| Not Available | 
| Full Name | Carole L Willson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 503 Sunset Dr, Olyphant, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346473030 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP010401 (Pennsylvania) | Primary | 
| Entity Name | Scranton Primary Health Care Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carole L Willson, CRNP 225 Penn Ave, Scranton, PA 18503-1921 Ph: (570) 342-7864 | Carole L Willson, CRNP 503 Sunset Dr, Olyphant, PA 18447-1323 Ph: (570) 342-7864 | 
| Emilia Ivanova Slavova, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1619 Main Street, Olyphant, PA 18447 Phone: 570-580-4171 Fax: 866-600-7413 | |
| Caroline J Towers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 River St, Olyphant, PA 18447 Phone: 570-383-3636 Fax: 570-383-3638 | |
| Alicia E Novak,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 River St, Olyphant, PA 18447 Phone: 570-383-3636 Fax: 570-383-3638 |