Healthcare Provider Details

I. General information

NPI: 1831827070
Provider Name (Legal Business Name): MCKENNA LEE UREY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2022
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2453 KINGSTON CT STE 101
YORK PA
17402-3655
US

IV. Provider business mailing address

2453 KINGSTON CT STE 101
YORK PA
17402-3655
US

V. Phone/Fax

Practice location:
  • Phone: 717-428-0150
  • Fax: 717-428-0151
Mailing address:
  • Phone: 717-428-0150
  • Fax: 717-428-0151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR244647
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN800811
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP032751
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: