Healthcare Provider Details

I. General information

NPI: 1831948892
Provider Name (Legal Business Name): MINDI JOAN SHERER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MINDI JOAN RADCLIFF

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5018 MEDICAL CENTER CIR
ALLENTOWN PA
18106-9661
US

IV. Provider business mailing address

5018 MEDICAL CENTER CIR
ALLENTOWN PA
18106-9661
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2598
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP029468
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: