Perez, Chanel L

Perez, Chanel L is an individual health care provider with primary practice located at 110 S 17Th St , Harrisburg PA 17104-1123. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Perez, Chanel L can be contacted via phone (717) 232-9971.

Contact Information

Primary practice address
110 S 17Th St Harrisburg PA 17104-1123
Fax: (717) 920-3039
Website:

Profile Details

NPI number 1720562622
LBN Legal business name Perez, Chanel L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Dec 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720562622 NPPES
Pennsylvania MEDICAID 103550810-0001

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