Provider Demographics
NPI:1548732944
Name:URBANAVAGE, DOROTHY JOAN (RN)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JOAN
Last Name:URBANAVAGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 BELAIRE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-3501
Mailing Address - Country:US
Mailing Address - Phone:610-597-2924
Mailing Address - Fax:
Practice Address - Street 1:2645 BELAIRE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-3501
Practice Address - Country:US
Practice Address - Phone:610-597-2924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-23
Last Update Date:2018-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN671355163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical