Individual
BEVERLY P. STOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1736 W HAMILTON ST, ALLENTOWN, PA 18104-5656
(610) 628-8372
(610) 628-8648
Mailing address
24 S 18TH ST, ALLENTOWN, PA 18104-5622
(610) 628-8372
(610) 628-8648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN168320L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
019405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1344456
KHP CENTRAL
PA
Enumeration date
10/04/2005
Last updated
07/19/2011
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