Basic Information
Provider Information
NPI: 1992980064
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TREASTER
FirstName: ERIN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1605 N CEDAR CREST BLVD STE 110B
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042351
CountryCode: US
TelephoneNumber: 6109731410
FaxNumber: 6109731449
Practice Location
Address1: 1605 N CEDAR CREST BLVD STE 110B
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 18104
CountryCode: US
TelephoneNumber: 6109731410
FaxNumber: 6109731449
Other Information
ProviderEnumerationDate: 01/08/2008
LastUpdateDate: 06/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XSP009614PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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