IndividualActive
Alia Yesalavage, C.R.N.P.
NPI 1508019555 · Nurse Practitioner · Wilkes Barre, PA
Provider details
- NPI number
- 1508019555
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.R.N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- SP010019 (PA)
Practice location
150 Mundy St
Mac IV Building
Wilkes Barre, PA 18702-6830
Phone: (570) 824-0930
Fax: (570) 824-7755
Mailing address
47 Rockledge Dr
Mountain Top, PA 18707-1953
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2009-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.