MEDICARE: LISA J STEIKER R.N., M.S.N., C.N.S.

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN2722897L	PA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP013661	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2005007251-01	OTHER	PA	ANCC
2	SP013661	OTHER	PA	LICENSE NUMBER

General Provider Information

NPI Number	:	1972523611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA J STEIKER R.N., M.S.N., C.N.S.

Provider Business Mailing Address
First Line	:	455 PENNSYLVANIA AVE
Second Line	:	SUITE 105
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-3403
Country	:	US
Telephone Number	:	215-793-4546
Fax Number	:	215-793-9007

Provider Business Practice Location Address
First Line	:	455 PENNSYLVANIA AVE
Second Line	:	SUITE 105
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-3403
Country	:	US
Telephone Number	:	215-793-4546
Fax Number	:	215-793-9007

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	09/14/2021

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