Individual provider · NPI-1

Anita Desai, CRNP

Nurse Practitioner, Pediatrics · Bethlehem, PA

NPI number1700299062
StatusActive
Last updated in NPPESJun 4, 2014

Details

NPI
1700299062
Entity type
Individual (NPI-1)
Name
Mrs. Anita Desai
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2014
Last updated
Jun 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsSP004048NPAYes

Practice location

1530 8th Ave
1st Floor, Suite 102
Bethlehem, PA 18018-1883

Phone 484-526-2100

Mailing address

1530 8th Ave
1st Floor, Suite 102
Bethlehem, PA 18018-1883

Phone 484-526-2100

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