Dena C Wich, CRNP | |
14351 Kutztown Rd, Fleetwood, PA 19522-9273 | |
(610) 944-8800 | |
(610) 944-8213 |
Full Name | Dena C Wich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14351 Kutztown Rd, Fleetwood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902101637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP010782 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Dena C Wich, CRNP Po Box 783311, Philadelphia, PA 19178-3311 Ph: () - | Dena C Wich, CRNP 14351 Kutztown Rd, Fleetwood, PA 19522-9273 Ph: (610) 944-8800 |
Khyatiben B Patel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Nicole Lundy, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 | |
Jessica Momose, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 | |
Kirsten Debra Eisenhower, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 | |
Linda Breidigam, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Miss Lee Ann Josette Klocko, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 | |
Brittany Moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 |