person
Ian M Liebold, CRNP
Family Nurse Practitioner in Stroudsburg, Pennsylvania
NPI 1265198030

Ian M Liebold is a Family Nurse Practitioner based in Allentown, PA and is specialized in Family. Ian M Liebold practices in Stroudsburg, PA and has the professional credentials of CRNP. The NPI Number for Ian M Liebold is 1265198030 and holds a License No. SP024724 (Pennsylvania).

The current practice location address for Ian M Liebold is 600 Commerce Blvd, Stroudsburg, PA and can be reached out via phone at 570-424-7390 and via fax at 570-424-7395.

Location: 600 Commerce Blvd, Stroudsburg, PA, 18103-5622
person
Provider Profile Details
NPI Number
1265198030
Provider Name
Ian M Liebold
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
600 Commerce Blvd, Stroudsburg, PA, 18103-5622
Phone Number
570-424-7390
Fax Number
570-424-7395
Provider Enumeration Date
11/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP024724 01 PA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
600 Commerce Blvd
City
State
Zip
18360-6214
Phone Number
570-424-7390
Fax Number
570-424-7395
person
Provider Business Mailing Address Details
Address
600 Commerce Blvd
City
State
Zip
18360-6214
Phone Number
570-424-7390
Fax Number
570-424-7395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP024724 (Pennsylvania)
Definition
Definition to come...
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