Provider Demographics
NPI:1659360923
Name:KRAMER, DEBRA A (CRNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:KRAMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:A
Other - Last Name:BISHWATY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1320 BROADCASTING RD
Mailing Address - Street 2:STE 200
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3222
Mailing Address - Country:US
Mailing Address - Phone:610-372-8995
Mailing Address - Fax:
Practice Address - Street 1:5018 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 240
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9661
Practice Address - Country:US
Practice Address - Phone:484-876-5649
Practice Address - Fax:610-437-4320
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001992C363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50032693OtherCAPITAL BLUE CROSS
PA103246301Medicaid
PA126650Medicare PIN
PAS16600Medicare UPIN