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NPI Code Detail

MEDICARE: MADELINE GABRIELLE REIGHARD CRNP

MEDICARE: MADELINE GABRIELLE REIGHARD CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP035675PA

General Provider Information

NPI Number : 1649117235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE GABRIELLE REIGHARD CRNP
Provider Business Mailing Address
First Line : 1201 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1900
Country : US
Telephone Number : 888-647-9600
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1907
Country : US
Telephone Number : 570-326-8457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/01/2026

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