Bacon, Liane Mae

Bacon, Liane Mae is an individual health care provider with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0001. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bacon, Liane Mae can be contacted via phone (570) 808-7300.

Contact Information

Primary practice address
1000 E Mountain Dr Wilkes Barre PA 18711-0001
Phone: (570) 808-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN512192L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN512192L Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN512192L Pennsylvania

Profile Details

NPI number 1699475517
LBN Legal business name Bacon, Liane Mae
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2023
Last updated Nov 27th, 2023 - about 2 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.

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