Brant Adomiak, CRNP
Nurse Practitioner in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1689953937
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1689953937
- Entity type
- Individual (NPI-1)
- Name
- Brant Adomiak
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2011
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP011495 | PA | Yes |
| 363LF0000X | Nurse Practitioner, Family | SP011495 | PA |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-6114 · Fax 570-808-6362
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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