Individual
RENAE N DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1005 BROOKSIDE RD, ALLENTOWN, PA 18106-9023
(610) 351-0419
Mailing address
3614 COUNTRY CLUB RD, ALLENTOWN, PA 18103-6983
(484) 547-8060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015541
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP025849
PA
Other
Enumeration date
10/29/2015
Last updated
10/05/2022
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