Individual
SUZANNE PANNABECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 S 6TH AVE, WEST READING, PA 19611-1426
(610) 988-9438
Mailing address
300 S 6TH AVE, PO BOX 16052, WEST READING, PA 19611-1426
(610) 988-9438
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
UP005570G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UP005570G
STATE LICENSE
PA
Enumeration date
06/03/2008
Last updated
06/03/2008
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