Provider Demographics
NPI:1043216989
Name:ABRAMS, SUSAN ELIZABETH (CRNA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3147 COLLEGE HEIGHTS BLVD
Mailing Address - Street 2:COLLEGE HEIGHTS ENDOSCOPY CENTER
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4813
Mailing Address - Country:US
Mailing Address - Phone:610-841-2432
Mailing Address - Fax:610-841-4433
Practice Address - Street 1:3147 COLLEGE HEIGHTS BLVD
Practice Address - Street 2:COLLEGE HEIGHTS ENDOSCOPY CENTER
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4813
Practice Address - Country:US
Practice Address - Phone:610-841-2432
Practice Address - Fax:610-841-4433
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN140613L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019555120001Medicaid
PA753047838002OtherTRICARE
PA0019555120001Medicaid
PA005403T4EMedicare PIN
PA005403QQSMedicare PIN