Individual
MS. REBECCA LEAH HABERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7399
(570) 808-5942
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016501
PA
363LG0600X
Gerontology Nurse Practitioner
SP016501
PA
Other
Enumeration date
09/28/2016
Last updated
08/31/2020
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