Provider Demographics
NPI:1730143090
Name:VOZAR, BECKY MARIE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:MARIE
Last Name:VOZAR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:BECKY
Other - Middle Name:MARIE
Other - Last Name:LINDGREN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3058 LEECHBURG ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068
Mailing Address - Country:US
Mailing Address - Phone:724-337-3400
Mailing Address - Fax:724-337-3119
Practice Address - Street 1:3058 LEECHBURG ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068
Practice Address - Country:US
Practice Address - Phone:724-337-3400
Practice Address - Fax:724-337-3119
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN300352L163W00000X
PASP005130B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAVO997387OtherHIGHMARK
S70417Medicare UPIN
PAVO997387OtherHIGHMARK
PA022942L56Medicare PIN
PA022942L55Medicare PIN