Individual
MS. LEIVY REYES-MOREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 270-4455
Mailing address
PO BOX 778, EASTON, MD 21601-8914
(410) 763-8787
(443) 496-3443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027762
PA
Other
Enumeration date
07/17/2023
Last updated
10/02/2023
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