| Mrs Kerry Lynn Altland, CRNP | |
|
2200 Good Hope Rd, Enola, PA 17025-1210 | |
| (717) 981-9000 | |
| Not Available |
| Full Name | Mrs Kerry Lynn Altland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 2200 Good Hope Rd, Enola, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023688397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0102X | Registered Nurse - Maternal Newborn | RN703274 (Pennsylvania) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | SP025871 (Pennsylvania) | Primary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kerry Lynn Altland, CRNP 108 E Front St, Lewisberry, PA 17339-8865 Ph: (717) 542-0573 | Mrs Kerry Lynn Altland, CRNP 2200 Good Hope Rd, Enola, PA 17025-1210 Ph: (717) 981-9000 |
Richard Keene, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 E Penn Dr., Enola, PA 17025 Phone: 717-857-2490 | |
Samantha Blood, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-988-9015 Fax: 717-221-5410 | |
Ashley Miller, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4510 Marketplace Way, Enola, PA 17025 Phone: 717-547-6108 Fax: 717-547-6189 | |
Mary E Dixon, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-652-9555 Fax: 717-791-2621 | |
Lynn Ann Gerlach, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 | |
Mr. Todd John Leonard Lesko, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 | |
Ms. Emily K Muscalus, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 |