Provider Demographics
NPI:1578907952
Name:SAPKO, MARK A (CRNA)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:A
Last Name:SAPKO
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1167
Practice Address - Country:US
Practice Address - Phone:717-242-7473
Practice Address - Fax:717-242-7478
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2022-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY670380367500000X
PARN585999367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered