Healthcare Provider Details

I. General information

NPI: 1164538559
Provider Name (Legal Business Name): MAUREEN MCFARLAND CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 04/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N 12TH ST
LEHIGHTON PA
18235-1138
US

IV. Provider business mailing address

211 N 12TH ST
LEHIGHTON PA
18235-1138
US

V. Phone/Fax

Practice location:
  • Phone: 610-377-1300
  • Fax: 610-377-4758
Mailing address:
  • Phone: 610-377-1300
  • Fax: 610-377-4758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP006307C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: