Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Oct 24, 2025
License(s)
TBD (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1417 8TH AVE | Bethlehem, PA 18018-2256 | |
| LOCATION | 1417 8TH AVE | Bethlehem, PA 18018-2256 | 484-526-5210 |
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