Healthcare Provider Details

I. General information

NPI: 1417213224
Provider Name (Legal Business Name): DONNA GILBERT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA MCDOWELL

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 S CEDAR CREST BLVD SUITE 2800
ALLENTOWN PA
18103-6268
US

IV. Provider business mailing address

PO BOX 1754
ALLENTOWN PA
18105-1754
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-6790
  • Fax: 610-402-6979
Mailing address:
  • Phone: 484-884-0183
  • Fax: 484-884-0628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP011637
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: