RICHARD T CETKOWSKI CRNP NPI 1356444517

NPI Information

NPI: 1356444517
Provider Name: RICHARD T CETKOWSKI, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
446 N READING RD
SUITE 301
EPHRATA, PA
ZIP 17522
Phone: (717) 733-6546
Get Directions

Richard T Cetkowski, CRNP is a family nurse practitioner in Ephrata, PA. Richard T Cetkowski, CRNP NPI is 1356444517. 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:

446 N READING RD
SUITE 301
EPHRATA, PA
ZIP 17522-802
Phone: (717) 733-6546
Fax: (717) 733-6010

The enumeration date for this NPI number is 9/6/2006 and was last updated on 5/17/2016.

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	SP009127	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	212350	OTHER		JOHNS HOPKINS
2	Q72811	MEDICARE UPIN
3	104518	MEDICARE PIN	PENNSYLVANIA
4	1568941	OTHER	PENNSYLVANIA	GATEWAY-WMG
5	1926547	OTHER	PENNSYLVANIA	HIGHMARK BS FREEDOM BLUE
6	Q72811	MEDICARE UPIN	PENNSYLVANIA
7	199629UFW	MEDICARE PIN	PENNSYLVANIA
8	102211740	MEDICAID	PENNSYLVANIA
9	50073194	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS-YH

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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