Provider Demographics
NPI:1831159961
Name:PASKANIK, CYNTHIA H (CRNP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:H
Last Name:PASKANIK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:H
Other - Last Name:ANZULAVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:28 N. COLLEGE ST.
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2727
Mailing Address - Country:US
Mailing Address - Phone:717-245-1835
Mailing Address - Fax:
Practice Address - Street 1:28 N. COLLEGE ST.
Practice Address - Street 2:DICKINSON COLLEGE HEALTH CENTER
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013
Practice Address - Country:US
Practice Address - Phone:717-245-1835
Practice Address - Fax:717-245-1938
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily