Healthcare Provider Details

I. General information

NPI: 1609739408
Provider Name (Legal Business Name): KRISTEN PRATT WUESCHER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN ELLEN PRATT

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 S CEDAR CREST BLVD STE 205
ALLENTOWN PA
18103-6271
US

IV. Provider business mailing address

8381 SCENIC VIEW DR
BREINIGSVILLE PA
18031-4103
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-9116
  • Fax:
Mailing address:
  • Phone: 704-458-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License NumberSP033145
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: