Provider Demographics
NPI:1205822327
Name:BURNS, PAMELA E (CRNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:E
Last Name:BURNS
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 1:421 W CHEW ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3406
Mailing Address - Country:US
Mailing Address - Phone:610-776-5100
Mailing Address - Fax:610-663-3113
Practice Address - Street 1:1210 HANOVER AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-2017
Practice Address - Country:US
Practice Address - Phone:610-437-6490
Practice Address - Fax:610-437-4151
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003751B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
50060469OtherCBC
20014946OtherAMERIHEALTH MERCY HEALTH
50060469OtherCBC
PA500005876Medicare PIN
PAS51823Medicare UPIN