| Ryan Patrick Keller, CRNP | |
|
300 W Baltimore Ave, Media, PA 19063-3683 | |
| (558) 687-2410 | |
| Not Available |
| Full Name | Ryan Patrick Keller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 300 W Baltimore Ave, Media, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114662343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025672 (Pennsylvania) | Primary |
| Entity Name | Prospect Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Patrick Keller, CRNP 300 W Baltimore Ave, Media, PA 19063-3683 Ph: (855) 687-2410 | Ryan Patrick Keller, CRNP 300 W Baltimore Ave, Media, PA 19063-3683 Ph: (558) 687-2410 |
Janeen A Franz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1088 W Baltimore Pike, Suite 2500, Media, PA 19063 Phone: 610-565-4107 Fax: 610-565-8349 | |
Ms. Phuong Ngo, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-3218 | |
Tanya Ann Kozuch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E State St Ste 205, Media, PA 19063 Phone: 610-521-2053 | |
Kaela Mclaughlin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-9400 | |
Maureen Lubas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 W Baltimore Pike, Suite 3101, Media, PA 19063 Phone: 610-891-9277 | |
Carol L Tanzio, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 176 S New Middletown Rd, Mob, 1st Floor, Media, PA 19063 Phone: 610-627-3690 Fax: 610-627-3684 | |
Mrs. Ellah C. Nota, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Glen Riddle Rd, Media, PA 19063 Phone: 610-410-9933 Fax: 360-291-7711 |