Provider Demographics
NPI:1821377227
Name:REICH, SONIA LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:LYNN
Last Name:REICH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:964 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-7527
Practice Address - Country:US
Practice Address - Phone:570-742-2300
Practice Address - Fax:570-742-6276
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2022-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP011523363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA227543NYFMedicare PIN