MR. GARY MARK HUTSKO CRNP NPI 1174542930

NPI Information

NPI: 1174542930
Provider Name: MR. GARY MARK HUTSKO, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1111 E END BLVD
VA MEDICAL CENTER
WILKES BARRE, PA
ZIP 18711
Phone: (570) 824-3521
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MR. Gary Mark Hutsko, CRNP is a family nurse practitioner in Wilkes Barre, PA. MR. Gary Mark Hutsko, CRNP NPI is 1174542930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 E END BLVD
VA MEDICAL CENTER
WILKES BARRE, PA
ZIP 18711-030
Phone: (570) 824-3521

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/9/2007.

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
1	363LF0000X	Nurse Practitioner	Family	SP007081	PENNSYLVANIA	Yes

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
1	055209PGY	MEDICARE PIN	PENNSYLVANIA
2	RN282074L	OTHER	PENNSYLVANIA	REGISTERED NURSE
3	SP007081	OTHER	PENNSYLVANIA	NURSE PRACTITIONER
4	P51520	MEDICARE UPIN	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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