Individual
PAUL W HLAVINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
153 BRODHEAD RD, BETHLEHEM, PA 18017-8931
(484) 526-3218
(484) 526-3180
Mailing address
153 BRODHEAD RD, BETHLEHEM, PA 18017-8931
(484) 526-3218
(484) 526-3180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
Enumeration date
05/26/2017
Last updated
07/21/2022
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