Holly Marie Drutarovsky, PA-C
Physician Assistant in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1184103764
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1184103764
- Entity type
- Individual (NPI-1)
- Name
- Holly Marie Drutarovsky
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2018
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA060011 | PA | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | OA004573 | PA | |
| 2084N0400X | Psychiatry & Neurology, Neurology | MA060011 | PA |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-7300
Mailing address
100 North Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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