Provider Demographics
NPI:1710174206
Name:TROWBRIDGE, PATRICIA L (CRNA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:TROWBRIDGE
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 1:1245 S. CEDAR CREST BLVD., #301
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-602372163W00000X
PA078035367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3705248000OtherIBC
PA9135459OtherAETNA
PA125782OtherGEISINGER
PA50084933OtherCAPITAL ADVANTAGE
PA2098276OtherHIGHMARK
PA2098276OtherFIRST PRIORITY
PA11954065OtherCAQH
PA1027794860001Medicaid
PA1585279OtherGATEWAY
PA2098276OtherHIGHMARK
PA1027794860001Medicaid
PA11954065OtherCAQH