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MARIE T ZEDALIS CRNP
NPI 1063986313
Nurse Practitioner - Family in Moosic, PA

Active since January 18, 2019
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Marie T Zedalis Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE T ZEDALIS CRNP (NPI 1063986313) is an individual family provider in Moosic, Pennsylvania, licensed in Pennsylvania (SP019829) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1063986313
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE T ZEDALISCredential: CRNP
Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1707
Mailing Address340 Montage Mountain RdMoosic, PA 18507-1707 · (570) 346-3686 · Fax (570) 558-6838
Phone(570) 346-3686
Fax(570) 558-6838
Sole ProprietorNo
Enumeration DateJanuary 18, 2019
Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration
✔ NPI 1063986313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP019829
340 MONTAGE MOUNTAIN RD, Moosic, PA 18507
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA LYN FIDIAM PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
JESSICA MCDONOUGH MS, NCC, LPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
FRANCIELE DACRUZ LAPC
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MR. JOSEPH FEISTL PA
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
LIZA ROSE BEVIGLIA
Physician Assistant
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
MATTHEW VINNACOMBE PA-C
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
DR. KRISTIE MARIE NARDELL M.D.
Psychiatry & Neurology (Psychiatry)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686
JASON LEE ANTHONY
Social Worker
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Lackawanna County (570) 346-3686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Zedalis's NPI number?

The NPI number for Marie Zedalis is 1063986313. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Marie Zedalis located?

Marie Zedalis practices at 340 Montage Mountain Rd, Moosic, PA 18507. The listed phone number is (570) 346-3686.

What is Marie Zedalis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marie Zedalis was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.