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Individual

HEATHER HIDALGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN696817
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
696817
PA STATE BOARD OF NURSING
PA
Enumeration date
08/29/2024
Last updated
01/14/2025
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