Individual
LISA KASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2813 COTTMAN AVE, PHILADELPHIA, PA 19149-1421
(215) 332-9666
(267) 672-8274
Mailing address
2 CAPITAL WAY STE 356, PENNINGTON, NJ 08534-2521
(609) 599-5307
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
26NJ00634300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00634300
NJ
363LF0000X
Family Nurse Practitioner
SP014197
PA
Other
Enumeration date
10/08/2014
Last updated
12/08/2022
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