Individual
NICHOLAS MORREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
125 BEAR CREEK RD, DUPONT, PA 18641-1933
(570) 212-1176
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN650613
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN650613
RN LICENSE
PA
Enumeration date
01/10/2020
Last updated
01/10/2020
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