Individual
KRISTEN WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 S CEDAR CREST BLVD, STE 401, ALLENTOWN, PA 18103-6369
(610) 402-7880
(610) 402-7881
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015395
PA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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