Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TKEL MANAGEMENT LLC
Active
Organization
TKEL MANAGEMENT LLC
Active
Other names
Beautique Spa LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA-KAY ELLERSICK-LOPEZ DNP FNP-C (OWNER)
(570) 807-3034
Entity
Organization
Contact information
Practice address
3261 ROUTE 100, MACUNGIE, PA 18062-9322
(570) 807-3034
Mailing address
3261 ROUTE 100, MACUNGIE, PA 18062-9322
(570) 807-3034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376946970
—
PA
Enumeration date
02/15/2023
Last updated
02/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up