Basic Information
Provider Information
NPI: 1346600848
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEALON
FirstName: CARA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 LEHIGH PKWY E APT 3H
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181033083
CountryCode: US
TelephoneNumber: 6087720865
FaxNumber:  
Practice Location
Address1: 2401 PARK DR STE 101
Address2:  
City: HARRISBURG
State: PA
PostalCode: 171109303
CountryCode: US
TelephoneNumber: 7176869842
FaxNumber: 8448038108
Other Information
ProviderEnumerationDate: 02/26/2016
LastUpdateDate: 03/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WD0400XRN637111PAN Nursing Service ProvidersRegistered NurseDiabetes Educator
363L00000XSP019629PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000XSP019629PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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