Healthcare Provider Details

I. General information

NPI: 1093269425
Provider Name (Legal Business Name): ASHLEY YUNEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY LOPEZ

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S CEDAR CREST BLVD
ALLENTOWN PA
18103-6202
US

IV. Provider business mailing address

4905 W TILGHMAN ST STE 250
ALLENTOWN PA
18104-9131
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-8001
  • Fax:
Mailing address:
  • Phone: 484-866-9583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number111391
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: