Provider Demographics
NPI:1477522308
Name:ASKEY, BRUCE DUANE (CNP)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:DUANE
Last Name:ASKEY
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:317 W LOCKHART ST
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1618
Practice Address - Country:US
Practice Address - Phone:570-888-5858
Practice Address - Fax:570-887-2345
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP004897C363LA2200X, 363L00000X
NYF302276-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACC9269OtherRR MEDICARE GROUP
NY01976425Medicaid
PA500013350OtherRR MEDICARE PIN
PAGU039897OtherMEDICARE GROUP
PA030100N9LMedicare ID - Type Unspecified
PA500013350OtherRR MEDICARE PIN
NYDD5728Medicare ID - Type Unspecified