Provider Demographics
NPI:1720311285
Name:PRETTI, CARMELLA ANN (CRNA)
Entity type:Individual
Prefix:
First Name:CARMELLA
Middle Name:ANN
Last Name:PRETTI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 S CEDAR CREST BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-316621-L163W00000X
PA082999367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1585275OtherGATEWAY
PA12004452OtherCAQH
PA1027826320001Medicaid
PA129525OtherGEISINGER
PA2132901OtherFIRST PRIORITY
PA50088428OtherCAPITAL ADVANTAGE
PA2132901OtherHIGHMARK
PA9127474OtherAETNA
PA3745911000OtherIBC
PA1027826320001Medicaid
PA2132901OtherFIRST PRIORITY