Healthcare Provider Details

I. General information

NPI: 1487582201
Provider Name (Legal Business Name): LISA A MYERS MSN, RN, OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2494 BERNVILLE RD STE G04
READING PA
19605-9466
US

IV. Provider business mailing address

2494 BERNVILLE RD STE G04
READING PA
19605-9466
US

V. Phone/Fax

Practice location:
  • Phone: 610-898-5785
  • Fax: 610-378-2929
Mailing address:
  • Phone: 610-898-5785
  • Fax: 610-378-2929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number296891
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: