Healthcare Provider Details

I. General information

NPI: 1427768183
Provider Name (Legal Business Name): APRIL MARIE TREIBLE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 SMITHFIELD LN
EAST STROUDSBURG PA
18301-8715
US

IV. Provider business mailing address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 272-212-3872
  • Fax: 866-230-5974
Mailing address:
  • Phone: 484-526-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA064130
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: