Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP018268 | PA |
NPI | 1003336116 |
---|---|
Provider Name | Anna Juliette Esser |
First Address | Allentown, PA 18103-5622 |
Second Address | Allentown, PA 18103-6214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2017 |
Last Update Date | 12/03/2021 |