Individual
CHANEL L PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
(717) 920-3039
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
(717) 920-3039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP019258
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP019258
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP019258
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103550810-0001
—
PA
Enumeration date
09/18/2018
Last updated
12/08/2022
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