Organization
WENDY A. REISS, PMHNP - BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY A. REISS PMHNP-BC (OWNER)
(908) 386-5112
Entity
Organization
Contact information
Practice address
25 EAST CENTER STREET,, NAZARETH, PA 18064-2254
(908) 386-5112
(570) 402-1144
Mailing address
5982 KESSLERSVILLE ROAD, NAZARETH, PA 18064-9374
(908) 386-5112
(570) 402-1144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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