Carole L Willson, CRNP | |
503 Sunset Dr, Olyphant, PA 18447-1323 | |
(570) 342-7864 | |
Not Available |
Full Name | Carole L Willson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 503 Sunset Dr, Olyphant, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346473030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP010401 (Pennsylvania) | Primary |
Entity Name | Scranton Primary Health Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363 |
Mailing Address | Practice Location Address |
---|---|
Carole L Willson, CRNP 225 Penn Ave, Scranton, PA 18503-1921 Ph: (570) 342-7864 | Carole L Willson, CRNP 503 Sunset Dr, Olyphant, PA 18447-1323 Ph: (570) 342-7864 |
Emilia Ivanova Slavova, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1619 Main Street, Olyphant, PA 18447 Phone: 570-580-4171 Fax: 866-600-7413 | |
Caroline J Towers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 River St, Olyphant, PA 18447 Phone: 570-383-3636 Fax: 570-383-3638 | |
Alicia E Novak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 River St, Olyphant, PA 18447 Phone: 570-383-3636 Fax: 570-383-3638 |