Search › Pennsylvania › Nurse Practitioner
Ise Kannebecker, CRNP
NPI 1790156578 · on the registry since 2015
Practice
- Address
- 412 Como Rd
Lake Como, PA 18437 - Phone
- (570) 798-2828
- Fax
- (570) 798-2636
- Organisation at this address
- Wayne Memorial Community Health Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania