WENDY PRUTSMAN (NPI# 1477669018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477669018 |
| Entity Type | Individual |
| Full Name | WENDY PRUTSMAN |
| Credential | CRNP |
| Practice Address |
1200 S Cedar Crest Blvd Allentown PA 18103-6202 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104028510 |
| Practice Fax Number | 6104021283 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
VP004031 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123094 | Michael Joseph Patton | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2005-06-09 |
| 1144820457 | Yunier Ramirez | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-27 |
| 1881293751 | Meghan Elizabeth Paradise | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-22 |
| 1093314007 | Abbigail Nicole Reimer | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1407455397 | Veronica Gisondi | Surgery | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-21 |
| 1194324582 | Erin Collington | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-10-19 |
| 1770198079 | Sarah Knop | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-09-14 |
| 1922611185 | Tsneem Hamed Salem Mbydeen | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-27 |
| 1255944732 | Kamoliddin Khodjaev | Registered Nurse | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-08-25 |
| 1881212918 | Cleo Zarina Alejo Reyes | Student in an Organized Health Care Education/Training Program | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457536286 | Ruth Agers Rice | Nurse Practitioner | Cwm Seventeenth and Chew, Suite 100, Allentown, PA 18105 | 2007-12-28 |
| 1396847489 | Wendy Grube | Nurse Practitioner | 1409 Union Blvd, Rear, Allentown, PA 18109 | 2006-09-01 |
| 1477644607 | Mary Bealer | Nurse Practitioner | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6258 | 2006-09-26 |
| 1568563799 | Jerrilyn Weitz | Nurse Practitioner | 1627 W Chew St, Allentown, PA 18102-3648 | 2006-09-26 |
| 1003907239 | Kathleen Strzepek | Nurse Practitioner | 1611 Pond Rd, Suite 401, Allentown, PA 18104-2258 | 2006-09-26 |
| 1033225776 | Kimberely Parsons | Nurse Practitioner | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2006-08-23 |
| 1184730723 | Karen Tiedeken | Nurse Practitioner | 3900 Hamilton Blvd, Suite 201, Allentown, PA 18103-6122 | 2006-08-23 |
| 1255447934 | Brenda L Hay | Nurse Practitioner | 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103-6258 | 2006-08-22 |
| 1043249600 | Mary E Wolff | Nurse Practitioner | 29 N 9th St, Allentown, PA 18101-1102 | 2006-07-03 |
| 1215999743 | Elizabeth Parr | Nurse Practitioner | 1575 Pond Rd, Suite 104, Allentown, PA 18104-2254 | 2006-04-03 |
| Find all providers in ALLENTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.