Healthcare Provider Details

I. General information

NPI: 1326599622
Provider Name (Legal Business Name): TARA ZEMLANSKY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARA VOSSLER

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 CHEW ST
ALLENTOWN PA
18102
US

IV. Provider business mailing address

PO BOX 783311
PHILADELPHIA PA
19178-3311
US

V. Phone/Fax

Practice location:
  • Phone: 610-969-3390
  • Fax: 610-969-3393
Mailing address:
  • Phone: 484-884-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016668
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: