Individual
SUZANNE WARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S CEDAR CREST BLVD FL 2, ALLENTOWN, PA 18103-6202
(484) 884-2989
(610) 402-8358
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
(484) 526-2398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
SP013282
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP013282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP13282
STATE LICENSE
PA
Enumeration date
08/14/2014
Last updated
01/14/2022
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