Provider Demographics
NPI:1366439085
Name:POSAVEK, HEATHER L (CRNA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:POSAVEK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5520
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-0520
Mailing Address - Country:US
Mailing Address - Phone:610-954-5810
Mailing Address - Fax:610-954-5480
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:610-954-5810
Practice Address - Fax:610-954-5480
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN343835L163W00000X
PA053612367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1368578OtherKHP CENTRAL
PA1027808990001Medicaid
PA11783698OtherCAQH
PA2060610000OtherINDEP. BLUE CROSS
PA03225001OtherCAPITAL ADVANTAGE
PA1368578OtherHIGHMARK
PA9245457OtherAETNA
PA1368578OtherFIRST PRIORITY
PA75691OtherGEISINGER
PA1585158OtherGATEWAY
PA2060610000OtherINDEP. BLUE CROSS
PA11783698OtherCAQH
PA03225001OtherCAPITAL ADVANTAGE