Healthcare Provider Details

I. General information

NPI: 1194648667
Provider Name (Legal Business Name): NICAYRIS ULERIO-FERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 N 13TH ST
READING PA
19604-2510
US

IV. Provider business mailing address

762 N 13TH ST
READING PA
19604-2510
US

V. Phone/Fax

Practice location:
  • Phone: 484-478-3893
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: