Doctor Name: | MRS. DANIELLE JEANETTE WESTGATE |
NPI Number: | 1295036309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | OA002559 |
Business Practice Address: | 430 Nazareth Pike Nazareth, PA - 180649683 |
Business Phone Number: | 6103652300 |
Business Fax Number: | |
Mailing Address: | 911 Center St, 2nd Floor BETHLEHEM |
State: | PA |
Postal Code: | 180182803 |
Phone Number: | 6103179840 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA002559 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |