Destiny Mayo-Juratovic
Nurse Practitioner - Critical Care Medicine
204 W 26th St
Erie
, Pennsylvania 16508-1806
Destiny Mayo-Juratovic
Nurse Practitioner - Critical Care Medicine
204 W 26th St
Erie
, Pennsylvania 16508-1806
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Destiny Mayo-Juratovic
- 680 Blair Mill Rd
- Horsham, PA
- Zip : 19044-2223
- Phone :
Second Address
- Destiny Mayo-Juratovic
- 204 W 26th St
- Erie, PA
- Zip : 16508-1806
- Fax : (814) 864-5430
- Phone : (814) 864-4755
Reviews
FAQs
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Is Destiny Mayo-Juratovic a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP017240 | PA |
National Provider Identifier
| NPI | 1154860294 |
|---|---|
| Provider Name | Destiny Mayo-Juratovic |
| First Address | Horsham, PA 19044-2223 |
| Second Address | Erie, PA 16508-1806 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2017 |
| Last Update Date | 10/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.