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:
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Health care specialties

SpecialtyCodeLicense #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 11 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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Identifiers

StateTypeNumberIssuer
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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