Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN PRUSISZ
ActiveEVAN PRUSISZ is a Athletic Trainer healthcare provider located in WILLIAMSPORT, Maryland. NPI 1649156035 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WILLIAMSPORT, MD
Registration Details
- NPI Number
- 1649156035
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2025 (0.96649687640864 yrs)
- Last Updated
- Aug 12, 2025
Practice Information
- Address
-
16301 ELLIOTT PKWY, WILLIAMSPORT, MD 21795WILLIAMSPORT, MD, 21795Browse MD providers · Browse ZIP 21795
- Phone
- 2403133800
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WILLIAMSPORT, MD
| Name | Credential | NPI |
|---|---|---|
| REBECCA LYNN GODWIN | LAT, ATC | 1992200059 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.