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NPI Code Detail

MEDICARE: ALYSSA MARIE STAHLNECKER PA-C

MEDICARE: ALYSSA MARIE STAHLNECKER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA057164PA

General Provider Information

NPI Number : 1548661416
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MARIE STAHLNECKER PA-C
Provider Business Mailing Address
First Line : 4051 FREEMANSBURG AVE
Second Line :
City : EASTON
State : PA
Zip : 18045-5596
Country : US
Telephone Number : 484-503-7474
Fax Number : 833-203-6416
Provider Business Practice Location Address
First Line : 4051 FREEMANSBURG AVE
Second Line :
City : EASTON
State : PA
Zip : 18045-5596
Country : US
Telephone Number : 484-503-7474
Fax Number : 833-203-6416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 04/26/2018

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Directions to “ ALYSSA MARIE STAHLNECKER PA-C” Practice Location

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