Katie N Kandrysawtz, CRNP | |
3065 Windsor Rd, Red Lion, PA 17356-8533 | |
(717) 851-1750 | |
(717) 851-1760 |
Full Name | Katie N Kandrysawtz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3065 Windsor Rd, Red Lion, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447548193 | NPI | - | NPPES |
1602293 | Other | PA | GATEWAY MEDICARE ASSURED |
2659362 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP011484 (Pennsylvania) | Primary |
Entity Name | Wellspan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Katie N Kandrysawtz, CRNP 1803 Mount Rose Ave, Suite B3, York, PA 17403-3026 Ph: (717) 851-1405 | Katie N Kandrysawtz, CRNP 3065 Windsor Rd, Red Lion, PA 17356-8533 Ph: (717) 851-1750 |
Jamie Ann Lilie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 | |
Travis C Willow, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 | |
Jacqueline Anderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3193 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-812-5888 Fax: 717-741-3709 | |
Kelly M Aguirre, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3065 Windsor Rd, Red Lion, PA 17356 Phone: 717-851-1700 Fax: 717-715-1302 | |
Tara I Burgon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3065 Windsor Rd, Red Lion, PA 17356 Phone: 717-851-1700 Fax: 717-851-1710 |