Basic Information
Provider Information
NPI: 1689196974
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEHME
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1501 N CEDAR CREST BLVD STE 110
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042309
CountryCode: US
TelephoneNumber: 6108212828
FaxNumber: 6108217915
Practice Location
Address1: 1240 S CEDAR CREST BLVD STE 401
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036218
CountryCode: US
TelephoneNumber: 6104023650
FaxNumber: 6104023673
Other Information
ProviderEnumerationDate: 07/09/2017
LastUpdateDate: 05/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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