Most Relevant Information
Provider Data
| NPI Number: | 1003181397 |
| Provider Name: | CARISSA LYNN WERKHEISER PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA055245 |
Most Important Dates
| Enumeration Date: | 03/20/2012 |
| Last Updated: | 12/24/2015 |
Provider Practice Location
798 HAUSMAN RD
SUITE 270
ALLENTOWN
PA
181049108
Practice Location Phone/Fax
| Phone: | 6108713400 |
| Fax: | 6108715566 |
Provider Mailing Location
PO BOX 783311
PHILADELPHIA
PA
191783311
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |