Individual
DANA J ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1230 S CEDAR CREST BLVD STES 301, 302, 304, ALLENTOWN, PA 18103-6212
(610) 432-4529
(610) 432-2206
Mailing address
1230 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6212
(610) 432-4529
(610) 432-2206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP020317
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020317
PA
Other
Enumeration date
05/08/2019
Last updated
06/03/2022
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