Healthcare Provider Details

I. General information

NPI: 1427409879
Provider Name (Legal Business Name): JULIE BEM R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 06/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 WESTGATE DR SUITE 100
BETHLEHEM PA
18017-7480
US

IV. Provider business mailing address

2045 WESTGATE DR SUITE 100
BETHLEHEM PA
18017-7480
US

V. Phone/Fax

Practice location:
  • Phone: 610-954-5433
  • Fax:
Mailing address:
  • Phone: 610-954-5433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN559264
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: