Individual provider · Type 1 NPI

Andrea Liebersohn, CRNP

Nurse Practitioner · Williamsport, PA

NPI number 1629610480 Active

Practice location

700 High St
Williamsport, PA 17701-3100

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP021036 (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 1629610480

Andrea Liebersohn, CRNP's National Provider Identifier is 1629610480, issued on Oct 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Williamsport, PA. The record was last updated on Aug 7, 2026.