Individual
MRS. LORRAINE P SIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MS RN CS APRN
Contact information
Practice address
2151 DEEP CREEK RD, PERKIOMENVILLE, PA 18074
(215) 541-9089
(215) 679-3144
Mailing address
2151 DEEP CREEK RD, PERKIOMENVILLE, PA 18074
(215) 541-9089
(215) 679-3144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
364S00000X
Clinical Nurse Specialist
RN248822L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005815320
AETNA
—
01
—
0492730000
KEYSTONE & AMERIHEALTH
—
Enumeration date
10/06/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us