Individual
RISE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
802 NEW HOLLAND AVE, SUITE 200, LANCASTER, PA 17602-2287
(717) 291-0700
(717) 291-9634
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP013092
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP013092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
358527FLT
MEDICARE
PA
Enumeration date
05/27/2014
Last updated
11/04/2024
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