Individual provider · Type 1 NPI

Thusha Sivanantham

Primary Care Nurse Practitioner · Allentown, PA

NPI number 1467099531 Active

Practice location

1250 S Cedar Crest Blvd Ste 400
Allentown, PA 18103-6224

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XSP021255 (PA)
Gerontology Nurse Practitioner 363LG0600XSP021255 (PA)
Primary Care Nurse Practitioner Primary 363LP2300XSP021255 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1467099531

Thusha Sivanantham's National Provider Identifier is 1467099531, issued on Dec 7, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Allentown, PA. The record was last updated on Sep 16, 2022.