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RENEE M FEDORCHAK
NPI 1831659556
Nurse Practitioner - Family in Shickshinny, PA

Active since March 20, 2019
890 BETHEL HILL RD, SHICKSHINNY, PA 18655(570) 991-6256 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renee M Fedorchak NPPES

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

RENEE M FEDORCHAK (NPI 1831659556) is an individual family provider in Shickshinny, Pennsylvania, licensed in Pennsylvania (SP019638) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1831659556
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENEE M FEDORCHAK
Location Address890 BETHEL HILL RDShickshinny, PA 18655-3706
Mailing Address3651 Chase RdShavertown, PA 18708-9737 · (570) 704-9695
Phone(570) 991-6256
Sole ProprietorNo
Enumeration DateMarch 20, 2019
✔ NPI 1831659556 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 · SP019638
890 BETHEL HILL RD, Shickshinny, PA 18655
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Other Names 1

Professional Name (2)Renee M Waligun Np-c

Other Providers at the Same Location NPPES

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

CLEARBROOK TREATMENT CENTERS, LLC
Substance Abuse Rehabilitation Facility
890 BETHEL HILL RD
SHICKSHINNY, PA 18655
Luzerne County (866) 201-8677

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 Renee Fedorchak's NPI number?

The NPI number for Renee Fedorchak is 1831659556. It was assigned to this individual provider in the NPPES registry on March 20, 2019. The provider is also known as Renee M Waligun Np-C.

Where is Renee Fedorchak located?

Renee Fedorchak practices at 890 Bethel Hill Rd, Shickshinny, PA 18655. The listed phone number is (570) 991-6256.

What is Renee Fedorchak'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 Renee Fedorchak was last updated on March 20, 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.