Neri Ayllon-Vergara, CRNP
Nurse Practitioner, Family in Lebanon, PA. Individual provider (NPI-1).
NPI number1285346064
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1285346064
- Entity type
- Individual (NPI-1)
- Name
- Neri Ayllon-Vergara
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2022
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP026865 | PA | Yes |
Practice location
920 Church StLebanon, PA 17046-4656
Phone 717-769-4744
Mailing address
920 Church StLebanon, PA 17046-4656
Is something wrong?
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