CHANEL L PEREZ CRNP NPI 1720562622

NPI Information

  • NPI: 1720562622
  • Provider Name: CHANEL L PEREZ, CRNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 S 17TH ST
    HARRISBURG, PA
    ZIP 17104
  • Phone: (717) 232-9971

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NPI Details

Chanel L Perez, CRNP is a women's health nurse practitioner in Harrisburg, PA. Chanel L Perez, CRNP NPI is 1720562622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 S 17TH ST
HARRISBURG, PA
ZIP 17104-123
Phone: (717) 232-9971
Fax: (717) 920-3039

The NPI 1720562622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2018 and was last updated on 12/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerSP019258PENNSYLVANIANo
2363LX0001XNurse PractitionerObstetrics & GynecologySP019258PENNSYLVANIANo
3363LW0102XNurse PractitionerWomen's HealthSP019258PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103550810-0001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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