| Nurse Practitioners Of The Valley, Llc | |
|
3910 Adler Pl Ste 135 Bethlehem PA 18017-9299 | |
| (201) 218-1447 | |
| Not Available |
| Full Name | Nurse Practitioners Of The Valley, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3910 Adler Pl Ste 135, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Denis Tighe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2012181447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurse Practitioners Of The Valley, Llc Po Box 129 Center Valley PA 18034-0129 Ph: () - | Nurse Practitioners Of The Valley, Llc 3910 Adler Pl Ste 135 Bethlehem PA 18017-9299 Ph: (201) 218-1447 |
| NPI Number | 1962022574 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 02/19/2021 |
| Medicare PECOS PAC ID | 8820415367 |
|---|---|
| Medicare Enrollment ID | O20200831000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962022574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chandrakant C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154376713 PECOS PAC ID: 9830250828 Enrollment ID: I20081209000655 |
| Provider Name | Tricia L Vermilya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699052225 PECOS PAC ID: 6608042478 Enrollment ID: I20111228000280 |
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