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NPI Code Detail

MEDICARE: JANICE D. GERLACH CRNA

MEDICARE:   JANICE D. GERLACH  CRNA
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
1163W00000XRegistered NurseRN228512PA
2367500000XCertified Registered Nurse Anesthetist028742PA

General Provider Information

NPI Number : 1588651343
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE D. GERLACH CRNA
Provider Business Mailing Address
First Line : 7915 TRAILS END
Second Line :
City : FOGELSVILLE
State : PA
Zip : 18051-1531
Country : US
Telephone Number : 610-398-8040
Fax Number :
Provider Business Practice Location Address
First Line : 7915 TRAILS END
Second Line :
City : FOGELSVILLE
State : PA
Zip : 18051-1531
Country : US
Telephone Number : 610-398-8040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 09/06/2012

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Directions to “ JANICE D. GERLACH CRNA” Practice Location

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