| Lisa Keller, CRNP | |
| 1240 S Broad St Ste 200, Lansdale, PA 19446-5395 | |
| (215) 361-3376 | |
| (215) 412-3587 | 
| Full Name | Lisa Keller | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1240 S Broad St Ste 200, Lansdale, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457410540 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP009116 (Pennsylvania) | Primary | 
| 363L00000X | Nurse Practitioner | SP009116 (Pennsylvania) | Secondary | 
| Entity Name | Dermatology And Cosmetic Surgery Institute Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043485600 PECOS PAC ID: 2466519343 Enrollment ID: O20090319000533 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Keller, CRNP 1240 S Broad St Ste 200, Lansdale, PA 19446-5395 Ph: (215) 361-3376 | Lisa Keller, CRNP 1240 S Broad St Ste 200, Lansdale, PA 19446-5395 Ph: (215) 361-3376 | 
| Carolyn Stahlhut, MSN, CRNP, CUNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Medical Campus Drive, Medical Arts Building Suite 305, Lansdale, PA 19446 Phone: 215-361-2304 Fax: 215-361-2389 | |
| Victoria A. Weill, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 Medical Campus Drive, Lansdale, PA 19446 Phone: 215-855-8296 | |
| Gerald J Durivage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 826 N Broad St, Lansdale, PA 19446 Phone: 215-855-1054 Fax: 215-855-3786 | |
| Mollie Rovnak, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1970 N Broad St, Lansdale, PA 19446 Phone: 215-368-1900 Fax: 215-368-8772 | |
| Theresa M Bigelow, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 S Broad St Ste 130, Lansdale, PA 19446 Phone: 215-361-5040 | |
| Kimberly Parsons, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 419 S Broad St Unit 4, Lansdale, PA 19446 Phone: 215-536-3200 Fax: 215-536-3259 | |
| Sangeetha Priya Karunanithi,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Line St, Apt H203, Lansdale, PA 19446 Phone: 302-983-9549 |