Healthcare Provider Details

I. General information

NPI: 1568920460
Provider Name (Legal Business Name): MELANIE CATHERINE CENTRELLI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE CATHERINE KEATING

II. Dates (important events)

Enumeration Date: 03/10/2019
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

2100 MACK BLVD
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6298
  • Fax: 570-271-5841
Mailing address:
  • Phone: 484-884-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP020094
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP020094
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: