Provider Demographics
NPI:1659170181
Name:JANCEWICZ, KATERINA JANEL (RN)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:JANEL
Last Name:JANCEWICZ
Suffix:
Gender:
Credentials:RN
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Mailing Address - Street 1:865 ROCK GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SUGARLOAF
Mailing Address - State:PA
Mailing Address - Zip Code:18249-3533
Mailing Address - Country:US
Mailing Address - Phone:570-582-8255
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-271-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN763174364SN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SN0800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeuroscience