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Individual

DONNA KISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4131 OREGON PIKE, BROWNSTOWN, PA 17508
(717) 859-1123
(717) 859-2898
Mailing address
4131 OREGON PIKE, SUITE C, EPHRATA, PA 17522-9550
(717) 859-5161
(717) 859-5169

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP005087B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1915954
HIGHMARK/FREEDOM BLUE
01
50051190
CAPITAL BLUE CROSS
PA
Enumeration date
07/06/2006
Last updated
05/27/2015
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