Provider Demographics
NPI:1891062626
Name:KWASNY, PATRICK JOSEPH (CRNP)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:JOSEPH
Last Name:KWASNY
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5274 ROUTE 30
Mailing Address - Street 2:UNIT 10
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7833
Mailing Address - Country:US
Mailing Address - Phone:724-216-0317
Mailing Address - Fax:724-837-0271
Practice Address - Street 1:5274 ROUTE 30
Practice Address - Street 2:UNIT 10
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7833
Practice Address - Country:US
Practice Address - Phone:724-216-0317
Practice Address - Fax:724-837-0271
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily