Individual provider · Type 1 NPI

Alia Alyn Yesalavage, C.R.N.P.

Nurse Practitioner · Wilkes Barre, PA

NPI number 1508019555 Active

Practice location

150 Mundy St, Mac IV Building
Wilkes Barre, PA 18702-6830

Call (570) 824-0930 Map

Fax (570) 824-7755

Mailing address

47 Rockledge Dr
Mountain Top, PA 18707-1953

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP010019 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508019555

Alia Alyn Yesalavage, C.R.N.P.'s National Provider Identifier is 1508019555, issued on Nov 3, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Nov 30, 2009.