Healthcare Provider Details

I. General information

NPI: 1730817503
Provider Name (Legal Business Name): ERIN N PHRANER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN N CLARKE

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 CHEW ST
ALLENTOWN PA
18102-3648
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-969-4300
  • Fax: 610-969-4332
Mailing address:
  • Phone: 484-330-1377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN007239
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: