Provider Demographics
NPI:1952960643
Name:MURASKI, BETHANIE KALA (FNP)
Entity type:Individual
Prefix:
First Name:BETHANIE
Middle Name:KALA
Last Name:MURASKI
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 N BURDICK ST STE 204206A
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9462
Mailing Address - Country:US
Mailing Address - Phone:315-412-0387
Mailing Address - Fax:315-218-1814
Practice Address - Street 1:5900 N BURDICK ST STE 204206A
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9462
Practice Address - Country:US
Practice Address - Phone:315-412-0387
Practice Address - Fax:315-218-1814
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily