Doctor Name: | KRISTEN ANNE LERI |
NPI Number: | 1003290495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP015085 |
Business Practice Address: | 358 Hamlin Hwy Hamlin, PA - 184270430 |
Business Phone Number: | 5706892242 |
Business Fax Number: | 5706893416 |
Mailing Address: | 358 Hamlin Hwy, HAMLIN |
State: | PA |
Postal Code: | 184270430 |
Phone Number: | 5706892242 |
Fax Number: | 5706893416 |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |