Healthcare Provider Details

I. General information

NPI: 1710819479
Provider Name (Legal Business Name): HOPE WENGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 SAUCON VIEW DR
BETHLEHEM PA
18015-5082
US

IV. Provider business mailing address

324 SAUCON VIEW DR
BETHLEHEM PA
18015-5082
US

V. Phone/Fax

Practice location:
  • Phone: 717-409-9421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: