Individual
JOYCE R KANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1630 N ATHERTON ST, STATE COLLEGE, PA 16803-1416
(814) 238-1279
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN296489L
PA
363L00000X
Nurse Practitioner
Primary
SP013009
PA
363LF0000X
Family Nurse Practitioner
SP013009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313319
MEDICARE
PA
Enumeration date
08/06/2013
Last updated
03/04/2016
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