Provider Demographics
NPI:1558668962
Name:MAURER, ALLISON G (CRNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:G
Last Name:MAURER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:G
Other - Last Name:PRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:207 HOUSE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2308
Mailing Address - Country:US
Mailing Address - Phone:717-972-2821
Mailing Address - Fax:717-972-2845
Practice Address - Street 1:207 HOUSE AVE STE 110
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-972-2821
Practice Address - Fax:717-972-2845
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011192363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA215383 D99Medicare PIN