Provider Demographics
NPI:1851879969
Name:ASTORINO, MICHAEL ROSARIO (CRNP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ROSARIO
Last Name:ASTORINO
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 STATE ST
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-1240
Mailing Address - Country:US
Mailing Address - Phone:814-236-1112
Mailing Address - Fax:814-236-2172
Practice Address - Street 1:465 STATE ST
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-1240
Practice Address - Country:US
Practice Address - Phone:814-236-1123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily