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1780679621

NPI Code Detail

MEDICARE: ELEANOR ANN EPSER CRNA

MEDICARE: ELEANOR ANN EPSER CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN288245L	PA
2	367500000X	Certified Registered Nurse Anesthetist	049883	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1585089	OTHER	PA	GATEWAY
2	11754790	OTHER	PA	CAQH
3	1343397	OTHER	PA	FIRST PRIORITY
4	03222301	OTHER	PA	CAPITAL ADVANTAGE
5	9453198	OTHER	PA	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1343397	OTHER	PA	HIGHMARK
8	1343397	OTHER	PA	KHKP CENTRAL
9	2036045000	OTHER	PA	INDEP. BLUE CROSS
10	82840	OTHER	PA	GEISINGER

General Provider Information

NPI Number	:	1780679621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEANOR ANN EPSER CRNA

Provider Business Mailing Address
First Line	:	1245 S CEDAR CREST BLVD
Second Line	:	SUITE #301
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-6258
Country	:	US
Telephone Number	:	610-402-9099
Fax Number	:	610-402-9029

Provider Business Practice Location Address
First Line	:	2545 SCHOENERSVILLE RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-7300
Country	:	US
Telephone Number	:	610-402-9099
Fax Number	:	610-402-9029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	03/25/2013

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Directions to “ ELEANOR ANN EPSER CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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