Provider Demographics
NPI:1457787285
Name:FILIPOVSKA, VERA (CRNP)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:FILIPOVSKA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:KELESOVSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 827658
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-7658
Mailing Address - Country:US
Mailing Address - Phone:570-420-4951
Mailing Address - Fax:570-476-3754
Practice Address - Street 1:100 COMMUNITY DR
Practice Address - Street 2:STE 102
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-8985
Practice Address - Country:US
Practice Address - Phone:570-839-8754
Practice Address - Fax:570-839-1079
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013153363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner