MEDICARE: HEATHER KESSLER 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
1	363LF0000X	Family Nurse Practitioner	SP008921	PA

General Provider Information

NPI Number	:	1174592026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER KESSLER CRNP

Provider Business Mailing Address
First Line	:	2150 NOLL DR STE 200
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-7605
Country	:	US
Telephone Number	:	717-874-4297
Fax Number	:	717-874-4298

Provider Business Practice Location Address
First Line	:	4310 LONDONDERRY RD STE 109
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5329
Country	:	US
Telephone Number	:	717-988-0611
Fax Number	:	717-231-8778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	05/27/2021

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