Individual provider · Type 1 NPI

Petagaye Latoya Reyes, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA

NPI number 1508563479 Active

Practice location

9150 Marshall St Ste 14
Philadelphia, PA 19114-2217

Fax (215) 539-2470

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN553029 (PA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP027047 (PA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508563479

Petagaye Latoya Reyes, PMHNP-BC's National Provider Identifier is 1508563479, issued on Feb 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 1, 2026.