| Amy Ketterer, APRN | |
|
161 Washington Street, Suite 1400 Eight Tower Bridge, Conshohocken, PA 19428 | |
| (866) 825-3227 | |
| Not Available |
| Full Name | Amy Ketterer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 161 Washington Street, Conshohocken, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225020506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4188P (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 08056 (Ohio) | Secondary |
| Entity Name | Mobile Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Ketterer, APRN 7983 Castlewood Ln, Burlington, KY 41005-9429 Ph: (859) 384-7706 | Amy Ketterer, APRN 161 Washington Street, Suite 1400 Eight Tower Bridge, Conshohocken, PA 19428 Ph: (866) 825-3227 |
Barbara Dougherty, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm St Ste 201, Conshohocken, PA 19428 Phone: 877-278-3697 Fax: 610-910-3890 | |
Mrs. Elizabeth Ann Sano, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 W Ridge Pike Ste 300, Conshohocken, PA 19428 Phone: 610-825-1994 Fax: 610-825-2949 | |
Ms. Lora Lee Blasius, MSN APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Washington St. Suite 1400, Eight Tower Bridge, Conshohocken, PA 19428 Phone: 866-825-3227 Fax: 484-726-0013 | |
Kathleen Mary Grady, APRN-BC,FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Washington St, Suite 1400, Conshohocken, PA 19428 Phone: 866-825-3227 Fax: 484-351-3800 | |
Mrs. Anna Barsema, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Washington Street, Eight Tower Bridge, Suite 1400, Conshohocken, PA 19428 Phone: 484-351-3200 Fax: 484-450-2617 | |
Phyllis Kay Lading, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Wahingotn Street Suite 1400, Conshohocken, PA 19428 Phone: 484-351-3237 |