Provider Demographics
NPI:1437582095
Name:KRETSCHMAIER, ALANA (OD)
Entity Type:Individual
Prefix:DR
First Name:ALANA
Middle Name:
Last Name:KRETSCHMAIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:BRUNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:281 MCINTOSH RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-1914
Mailing Address - Country:US
Mailing Address - Phone:215-692-3554
Mailing Address - Fax:
Practice Address - Street 1:5301 LIMESTONE RD STE 128
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1253
Practice Address - Country:US
Practice Address - Phone:302-239-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-18
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002760174400000X
DEI3-0001367174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist