SUSQUEHANNA PHYSICIAN SERVICES NPI 1033345533

NPI Information

  • NPI: 1033345533
  • Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Other Name: SPS-MUNCY IM CRNP
  • Address: 10 SHADY LANE
    SUITE 201
    MUNCY, PA
    ZIP 17756
  • Phone: (570) 546-4100

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is a nurse practitioner in Muncy, PA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1033345533. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sps-muncy Im Crnp.

The provider's business location address is:

10 SHADY LANE
SUITE 201
MUNCY, PA
ZIP 17756-807
Phone: (570) 546-4100
Fax: (570) 546-4101

The provider's authorized official is Charles Santangelo .
The authorized official title is Execuitve Vp/cfo and has the following contact phone number (570) 321-3171.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 7/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CC0890MEDICARE PINPENNSYLVANIA
20017300760172MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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