Individual
MRS. PAMELA L VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
623 W UNION BLVD, SUITE 5, BETHLEHEM, PA 18018-3708
(610) 868-0104
(610) 868-0204
Mailing address
623 W UNION BLVD, SUITE 5, BETHLEHEM, PA 18018-3708
(610) 868-0104
(610) 868-0204
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP001741G
PA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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