Ise Kannebecker, CRNP
NPI #1790156578 in Lake Como, Pennsylvania
Provider Information
- NPI Number
- 1790156578
- Entity Type
- Individual
- Name
- Ise Kannebecker, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 412 COMO RD
- City
- Lake Como
- State
- Pennsylvania
- ZIP Code
- 18437-1020
- Phone
- (570) 798-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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