Provider Demographics
NPI:1518032754
Name:MAIR, MICHELE L (CRNP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:L
Last Name:MAIR
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 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:610-861-0377
Mailing Address - Fax:610-861-7358
Practice Address - Street 1:701 OSTRUM ST SUITE 502
Practice Address - Street 2:VALLEY CARDIOLOGY ASSOCIATES
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:610-861-0377
Practice Address - Fax:610-861-7358
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007564207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q59087Medicare UPIN
096722F47Medicare ID - Type Unspecified