Individual provider · NPI-1

Alida V Ammon, CRNP

Nurse Practitioner, Family · Allentown, PA

NPI number1497079628
StatusActive
Last updated in NPPESSep 10, 2010

Details

NPI
1497079628
Entity type
Individual (NPI-1)
Name
Mrs. Alida V Ammon
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 17, 2010
Last updated
Sep 10, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP010742PAYes

Practice location

421 W Chew St
Allentown, PA 18102-3406

Phone 610-776-4652 · Fax 610-776-5495

Mailing address

421 W Chew St
Allentown, PA 18102-3406

Phone 610-776-4652 · Fax 610-776-5495

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