MEDICARE: MRS. EMILY NICOLE PUN 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
1	363A00000X	Physician Assistant	MA059843	PA

General Provider Information

NPI Number	:	1831676618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY NICOLE PUN PA-C

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	484-526-4999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 CENTRE TPKE
Second Line	:
City	:	ORWIGSBURG
State	:	PA
Zip	:	17961-9060
Country	:	US
Telephone Number	:	272-639-5130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2018
Last Update Date	:	06/01/2026

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