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Individual

JUANITA KANESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP,RN

Contact information

Practice address
834 EATON AVE FL 1, BETHLEHEM, PA 18018
(484) 526-7474
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2538

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN247248L
PA
363L00000X
Nurse Practitioner
Primary
TP001455G
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50048680
CAP BLUECROSS
PA
01
993220
KHP
PA
Enumeration date
03/10/2006
Last updated
11/27/2019
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