Provider Demographics
NPI:1245851880
Name:URMANN, DESIRAE ELIZABETH (LPN)
Entity type:Individual
Prefix:
First Name:DESIRAE
Middle Name:ELIZABETH
Last Name:URMANN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DESIRAE
Other - Middle Name:ELIZABETH
Other - Last Name:JOSHNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1225 MILLION DOLLAR HWY
Mailing Address - Street 2:
Mailing Address - City:KERSEY
Mailing Address - State:PA
Mailing Address - Zip Code:15846-9431
Mailing Address - Country:US
Mailing Address - Phone:814-335-4754
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:UNIVERSITY PARK
Practice Address - State:PA
Practice Address - Zip Code:16802
Practice Address - Country:US
Practice Address - Phone:814-863-0774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN281582164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse