Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | TP006710B | PA |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | TP006710B | PA |
NPI | 1184643074 |
---|---|
Provider Name | Valerie Ann Schissler |
First Address | Allentown, PA 18103-3628 |
Second Address | Allentown, PA 18103-3628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 11/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P13595 | (02) | PA |