Provider Demographics
NPI:1265500532
Name:SLIVKA, RONALD PETER (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:PETER
Last Name:SLIVKA
Suffix:
Gender:M
Credentials:FAMILY NURSE PRACTIT
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Mailing Address - Street 1:4085 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-2574
Mailing Address - Country:US
Mailing Address - Phone:610-799-8853
Mailing Address - Fax:610-799-8001
Practice Address - Street 1:5300 KIDSPEACE DR
Practice Address - Street 2:
Practice Address - City:OREFIELD
Practice Address - State:PA
Practice Address - Zip Code:18069-2044
Practice Address - Country:US
Practice Address - Phone:610-799-8522
Practice Address - Fax:610-799-8801
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PATP004377B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001836834-0005Medicaid