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Contact Information

SUSAN J EVITTS, CRNP
517 SOUTH ST
LYKENS, PA17048-1520
 Phone: 717-453-1073
 Fax: 717-453-8292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SUSAN J EVITTS · (Female)

NPI Number 1427042241
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/08/2005
Last updated 03/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # RN266659L
  • PA License # SP026492
  • PA License # UP006785D
  • PA Medicaid 1031413460002
  • PA Other 2M3648 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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