| Emma Niznik, | |
|
100 Keystone Ave Ste 108, Pittston, PA 18640-6104 | |
| (570) 288-6616 | |
| Not Available |
| Full Name | Emma Niznik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 Keystone Ave Ste 108, Pittston, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386461978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | SP030575 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP030575 (Pennsylvania) | Primary |
| Entity Name | Regional Womens Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750880118 PECOS PAC ID: 2961316328 Enrollment ID: O20180611002120 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Niznik, 100 Keystone Ave Ste 108, Pittston, PA 18640-6104 Ph: () - | Emma Niznik, 100 Keystone Ave Ste 108, Pittston, PA 18640-6104 Ph: (570) 288-6616 |
Erin J Shepard, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Keystone Ave, Pittston, PA 18640 Phone: 833-552-1852 Fax: 570-214-1525 | |
Aislinn Ann Turner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Oak St, Pittston, PA 18640 Phone: 570-808-9800 Fax: 570-808-9801 | |
Ms. Ann Marie Banellis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Main St, Pittston, PA 18640 Phone: 570-654-0880 Fax: 570-655-9857 | |
Lisa Karen Muchler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Main St, Pittston, PA 18640 Phone: 570-602-5610 Fax: 570-602-5611 | |
Katelyn Ashley Kokolus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Oak St, Pittston, PA 18640 Phone: 570-808-9800 | |
Dr. Brenda Ann Pavill, FNP, PH.D. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 Williams St, The Care And Concern Free Clinic, Pittston, PA 18640 Phone: 570-954-0645 | |
Diane Elizabeth Barush, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 William St, Pittston, PA 18640 Phone: 570-954-0645 |