Healthcare Provider Details

I. General information

NPI: 1669556767
Provider Name (Legal Business Name): NEAL EDWARD CAREY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7300
US

IV. Provider business mailing address

575 N RIVER ST
WILKES BARRE PA
18702-2634
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-6164
  • Fax:
Mailing address:
  • Phone: 570-829-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN522157L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: