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NPI Code Detail

MEDICARE: JUSTIN KAISER CRNP

MEDICARE: JUSTIN KAISER 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP035100PA

General Provider Information

NPI Number : 1144170671
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN KAISER CRNP
Provider Business Mailing Address
First Line : 400 S GREENWOOD AVE FL 3
Second Line :
City : EASTON
State : PA
Zip : 18045-3776
Country : US
Telephone Number : 484-286-5717
Fax Number :
Provider Business Practice Location Address
First Line : 400 S GREENWOOD AVE FL 3
Second Line :
City : EASTON
State : PA
Zip : 18045-3776
Country : US
Telephone Number : 484-286-5717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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