Provider Demographics
NPI:1184643074
Name:SCHISSLER, VALERIE ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:SCHISSLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 HAMILTON BLVD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-3628
Mailing Address - Country:US
Mailing Address - Phone:610-435-9575
Mailing Address - Fax:610-435-2763
Practice Address - Street 1:3050 HAMILTON BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3628
Practice Address - Country:US
Practice Address - Phone:610-435-9575
Practice Address - Fax:610-435-2763
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006710B363LX0001X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP13595Medicare UPIN