Most Relevant Information
Provider Data
| NPI Number: | 1003803131 |
| Provider Name: | NORMA D. WILSON CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN247004L |
Most Important Dates
| Enumeration Date: | 10/04/2005 |
| Last Updated: | 03/25/2013 |
Provider Practice Location
1200 S CEDAR CREST BLVD
ALLENTOWN
PA
181036202
Practice Location Phone/Fax
| Phone: | 6104029099 |
| Fax: | 6104029029 |
Provider Mailing Location
1245 S CEDAR CREST BLVD
SUITE #301
ALLENTOWN
PA
181036258
Provider Mailing Phone/Fax
| Phone: | 6104029099 |
| Fax: | 6104029029 |