Healthcare Provider Details

I. General information

NPI: 1831011717
Provider Name (Legal Business Name): GIANNA WITMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 PENN AVE
WEST LAWN PA
19609-1648
US

IV. Provider business mailing address

2112 PENN AVE
WEST LAWN PA
19609-1648
US

V. Phone/Fax

Practice location:
  • Phone: 610-207-1333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: