Provider Demographics
NPI:1861634107
Name:DILLENSNYDER, LOUISE ANN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:ANN
Last Name:DILLENSNYDER
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 1:6900 HAMILTON BLVD
Mailing Address - Street 2:
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-9100
Mailing Address - Country:US
Mailing Address - Phone:610-481-0481
Mailing Address - Fax:
Practice Address - Street 1:65 E ELIZABETH AVE STE 512
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6515
Practice Address - Country:US
Practice Address - Phone:610-694-0642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP004332B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily