| Lisa Broody, CRNP | |
|
1001 Chesterbrook Blvd, Berwyn, PA 19312-0000 | |
| (610) 576-7500 | |
| (610) 576-7506 |
| Full Name | Lisa Broody |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1001 Chesterbrook Blvd, Berwyn, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487737417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP009148 (Pennsylvania) | Primary |
| Entity Name | Lewis Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790795995 PECOS PAC ID: 2961661491 Enrollment ID: O20120302000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Broody, CRNP 1001 Chesterbrook Blvd, 2nd Fl., Berwyn, PA 19312-0000 Ph: (610) 576-7500 | Lisa Broody, CRNP 1001 Chesterbrook Blvd, Berwyn, PA 19312-0000 Ph: (610) 576-7500 |
Mary Evans Greene, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 685 Kromer Ave, Berwyn, PA 19312 Phone: 109-950-1006 Fax: 109-950-4006 | |
Ms. Samala Jackson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312 Phone: 215-346-6050 Fax: 215-220-3562 | |
Kaelen Mcmullin, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd, Berwyn, PA 19312 Phone: 570-640-7262 Fax: 610-576-7707 | |
Kathryn Emily Walters, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd Fl 3, Berwyn, PA 19312 Phone: 610-576-7500 Fax: 215-576-7708 | |
Mrs. Margareth Fontaine, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 Buttonwood Rd, Berwyn, PA 19312 Phone: 484-319-2288 | |
Patricia A Gillin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd Fl 2, Berwyn, PA 19312 Phone: 610-576-7500 | |
Nikkira T Townsend, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Lancaster Ave # 100, Berwyn, PA 19312 Phone: 610-251-2525 |