Healthcare Provider Details

I. General information

NPI: 1124681697
Provider Name (Legal Business Name): DEANNE BABIO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2019
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 CORPORATE DR
EASTON PA
18045-2670
US

IV. Provider business mailing address

2755 STONEWOOD DR
BETHLEHEM PA
18017-3528
US

V. Phone/Fax

Practice location:
  • Phone: 610-258-1844
  • Fax:
Mailing address:
  • Phone: 610-462-7489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSPO19915
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019915
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: