Individual
ALICIA KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
(484) 258-9271
Mailing address
2214 RISING SUN RD, SLATINGTON, PA 18080-4038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN550839
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP032946
PA
Other
Enumeration date
09/06/2017
Last updated
04/01/2026
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