Provider Demographics
NPI:1386648368
Name:BARCOSKI, CHERYL MIERAU (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:MIERAU
Last Name:BARCOSKI
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:102 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:GOULDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18424-9419
Mailing Address - Country:US
Mailing Address - Phone:570-842-1254
Mailing Address - Fax:570-842-5878
Practice Address - Street 1:425 BRIGHTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1273
Practice Address - Country:US
Practice Address - Phone:610-954-5810
Practice Address - Fax:610-954-5480
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2008-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN263770L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021797JBQMedicare PIN