Basic Information
Provider Information
NPI: 1992215693
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRUMMOND
FirstName: LUZ
MiddleName: ANURI
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 834 EATON AVE
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180181832
CountryCode: US
TelephoneNumber: 4845267474
FaxNumber: 8338147405
Practice Location
Address1: 834 EATON AVE
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180181832
CountryCode: US
TelephoneNumber: 4845267474
FaxNumber: 8338147405
Other Information
ProviderEnumerationDate: 10/07/2017
LastUpdateDate: 01/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XSP017904PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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