Provider Demographics
NPI:1154508992
Name:SYMCZYK, LAURA (RN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SYMCZYK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 TYSON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-4406
Mailing Address - Country:US
Mailing Address - Phone:215-722-3779
Mailing Address - Fax:
Practice Address - Street 1:954 TYSON AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19111-4406
Practice Address - Country:US
Practice Address - Phone:215-722-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN193374L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse