Healthcare Provider Details

I. General information

NPI: 1932075843
Provider Name (Legal Business Name): CURELLE EUNAYA LEE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PARAMOUNT BLVD
ORWIGSBURG PA
17961-2202
US

IV. Provider business mailing address

1670 CENTER PL
ALLENTOWN PA
18103-4401
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-6643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP034060
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: