Individual
KATHLEEN ELIZABETH DISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103987984
—
PA
01
—
SP024501
STATE LICENSE
PA
Enumeration date
11/16/2021
Last updated
05/26/2023
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