# WENDY A. REISS, PMHNP - BC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568080067
- **Authorized official:** WENDY A. REISS PMHNP-BC (OWNER)
- **Authorized official phone:** (908) 386-5112

## Contact information

- **Practice address:** 25 EAST CENTER STREET,, NAZARETH, PA 18064-2254
- **Practice address phone:** (908) 386-5112
- **Practice address fax:** (570) 402-1144
- **Mailing address:** 5982 KESSLERSVILLE ROAD, NAZARETH, PA 18064-9374
- **Mailing address phone:** (908) 386-5112
- **Mailing address fax:** (570) 402-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/10/2020
- **Last updated:** 07/10/2020