Individual
KIRAH IOVANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
374 MOUNTAIN BLVD, WERNERSVILLE, PA 19565-9219
(516) 488-4428
Mailing address
374 MOUNTAIN BLVD, WERNERSVILLE, PA 19565-9219
(570) 561-2990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023056
PA
Other
Enumeration date
03/11/2021
Last updated
02/03/2023
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