Provider Demographics
NPI:1982953451
Name:SAFKO-DODSON, GEORGINE AMY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:GEORGINE
Middle Name:AMY
Last Name:SAFKO-DODSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:204 AUTUMNVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-9280
Mailing Address - Country:US
Mailing Address - Phone:814-932-1700
Mailing Address - Fax:814-931-1605
Practice Address - Street 1:350 LAKEMONT PARK BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-5946
Practice Address - Country:US
Practice Address - Phone:814-946-5411
Practice Address - Fax:814-931-1605
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP012049363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner