Doctor Name: | JUDITH CANADAY |
NPI Number: | 1013023811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP001315G |
Business Practice Address: | 190 Brodhead Rd Suite 205 Bethlehem, PA - 180178617 |
Business Phone Number: | 6108823100 |
Business Fax Number: | 6108829162 |
Mailing Address: | Po Box 1754, ALLENTOWN |
State: | PA |
Postal Code: | 181051754 |
Phone Number: | 6107984500 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | SP001315G |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |