| Ms Lucille Ann Constantine, CRNP | |
| 517 N Broad St, Lansdale, PA 19446-2415 | |
| (215) 647-2175 | |
| (267) 222-8019 | 
| Full Name | Ms Lucille Ann Constantine | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 517 N Broad St, 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 | 
|---|---|---|---|
| 1194082347 | NPI | - | NPPES | 
| 1477113637 | Other | PA | GROUP NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | UP006032L (Pennsylvania) | Primary | 
| Entity Name | Blue Mountain Psychiatry, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679819908 PECOS PAC ID: 5496909376 Enrollment ID: O20130130000126 | 
| Entity Name | Blue Mountain Wellness Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477113637 PECOS PAC ID: 8224463112 Enrollment ID: O20200123000741 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Lucille Ann Constantine, CRNP 517 N Broad St, Lansdale, PA 19446-2415 Ph: (215) 647-2175 | Ms Lucille Ann Constantine, CRNP 517 N Broad St, Lansdale, PA 19446-2415 Ph: (215) 647-2175 | 
| 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 |