Individual
MARY E DAMWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1240 S CEDAR CREST BLVD, SUITE 103, ALLENTOWN, PA 18103-6369
(610) 402-7880
(610) 402-7881
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001192
KEYSTONE CENTRAL
PA
01
—
50047205
CAPITAL BLUE CROSS
PA
Enumeration date
05/20/2006
Last updated
02/14/2025
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