Provider Demographics
NPI:1306944194
Name:SOLT, DENISE M (NP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:SOLT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:88 HECTOR LANE
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-4020
Mailing Address - Country:US
Mailing Address - Phone:610-377-0342
Mailing Address - Fax:610-377-0342
Practice Address - Street 1:2021 WESTGATE DRIVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-865-6077
Practice Address - Fax:610-694-0831
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP005121B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00309674OtherRR MEDICARE
PAS01676904OtherBLUE SHIELD
PAS01676904OtherBLUE SHIELD
PA076734TNAMedicare ID - Type Unspecified