Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN606373 | PA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP015637 | PA |
NPI | 1003287418 |
---|---|
Provider Name | Kristen Scholz |
First Address | Bethlehem, PA 18015-1000 |
Second Address | Bethlehem, PA 18015-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2015 |
Last Update Date | 10/11/2015 |