| Avant Wellness Associates Llc | |
|
1 Guthrie Sq Sayre PA 18840-1625 | |
| (570) 888-6666 | |
| Not Available |
| Full Name | Avant Wellness Associates Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Authorized Official Name and Position | Teresa Fairchild Pitcher (FOUNDER) |
| Authorized Official Contact | 6074261721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant Wellness Associates Llc 500 3rd St Towanda PA 18848-1522 Ph: (570) 265-2515 | Avant Wellness Associates Llc 1 Guthrie Sq Sayre PA 18840-1625 Ph: (570) 888-6666 |
| NPI Number | 1417422809 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 0749529071 |
|---|---|
| Medicare Enrollment ID | O20190305001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417422809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Teresa Fairchild-pitcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255669172 PECOS PAC ID: 1951563980 Enrollment ID: I20120508000564 |
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