Provider Demographics
NPI:1982692703
Name:WILLIAMS, SCARLET B (CRNP)
Entity Type:Individual
Prefix:
First Name:SCARLET
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SCARLET
Other - Middle Name:B
Other - Last Name:LICHTENWALNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:250 CETRONIA RD
Mailing Address - Street 2:STE 303
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-6200
Mailing Address - Fax:866-644-0894
Practice Address - Street 1:250 CETRONIA RD
Practice Address - Street 2:STE 303
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-973-6200
Practice Address - Fax:866-644-0894
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN320366L163W00000X
PAUP006586B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP3452605OtherOXFORD
PA1389290OtherKHP CENTRAL
PA1392874OtherHIGHMARK
PA02273202OtherCAP BLUE CROSS
PA02273202OtherCAP BLUE CROSS
PA1392874OtherHIGHMARK
PA1389290OtherKHP CENTRAL