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Individual

PAULETTE L. SIMKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-304471-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
075028
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027555820005
PA
01
11766033
CAQH
PA
01
1580140
GATEWAY
PA
01
1789398
FIRST PRIORITY
PA
01
2626489000
IBC
PA
01
50055230
CAPITAL ADVANTAGE
PA
01
9531499
AETNA
PA
01
97453
GEISINGER
PA
Enumeration date
02/16/2006
Last updated
03/25/2013
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