Individual
JUNE M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(610) 402-8896
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-8896
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN289957L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
046889
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1525445
HIGHMARK
PA
01
—
2211727000
INDEP. BLUE CROSS
PA
01
—
50018385
CAPITAL ADVANTAGE
PA
01
—
50078010
CAPITAL BLUE CROSS
PA
01
—
75375
GEISINGER
PA
01
—
P00027150
RAIL ROAD MEDICARE
PA
Enumeration date
10/03/2005
Last updated
02/10/2009
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