Anderson, Charlene M.
Anderson, Charlene M. is an individual health care provider with primary practice located at 400 N 17Th St , Allentown PA 18104-5052. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Anderson, Charlene M. can be contacted via phone (610) 402-9099.Contact Information
Primary practice address
400 N 17Th St
Allentown PA 18104-5052
Phone: (610) 402-9099
Fax: (610) 402-9029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN266339L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 040491 | Pennsylvania |
Profile Details
| NPI number | 1730176629 |
|---|---|
| LBN Legal business name | Anderson, Charlene M. |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Nov 24th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730176629 | NPPES |
| Pennsylvania | Other | 0063046 | FIRST PRIORITY |
| Pennsylvania | Other | 0063046 | FIRST PRIORITY |
| Pennsylvania | Other | 0063046 | FIRST PRIORITY |
| Pennsylvania | Other | 9699193 | FIRST PRIORITY |
| Pennsylvania | MEDICAID | 0070312970003 | FIRST PRIORITY |
| Pennsylvania | Other | 01484202 | FIRST PRIORITY |
| Pennsylvania | Other | 0718259000 | FIRST PRIORITY |
| Pennsylvania | Other | 11766001 | FIRST PRIORITY |
| Pennsylvania | Other | 1585085 | FIRST PRIORITY |
| Pennsylvania | Other | 82832 | FIRST PRIORITY |
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