Mrs Tara Irene Colella Niesen, NP | |
1330 Powell St Ste 507, Norristown, PA 19401-3352 | |
(484) 622-7940 | |
(484) 622-7950 |
Full Name | Mrs Tara Irene Colella Niesen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1330 Powell St Ste 507, Norristown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053803353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP018653 (Pennsylvania) | Primary |
Entity Name | Fornance Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053363523 PECOS PAC ID: 8527962661 Enrollment ID: O20040216000037 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tara Irene Colella Niesen, NP Po Box 789967, Philadelphia, PA 19178-9967 Ph: (484) 622-7395 | Mrs Tara Irene Colella Niesen, NP 1330 Powell St Ste 507, Norristown, PA 19401-3352 Ph: (484) 622-7940 |
Ms. Nicole Elizabeth Hobson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Beech Dr, Norristown, PA 19403 Phone: 610-279-6100 Fax: 610-279-0978 | |
Julia Stockton Philips, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Pine St, Norristown, PA 19401 Phone: 410-543-1957 | |
Mary Ann Dellostretto, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 Dekalb Pike, Suite 205, Norristown, PA 19401 Phone: 610-277-6400 Fax: 610-275-8861 | |
Mrs. Christine Marie Coletta-hansen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Powell St, Ste 100, Norristown, PA 19401 Phone: 610-272-1080 Fax: 610-270-0163 | |
Mrs. Susan Lynn Wheary, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 Dekalb Pike, Suite 205, Norristown, PA 19401 Phone: 610-277-6400 Fax: 610-275-8861 | |
Mark Heimann, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Powell St, Suite 301 Cardiology Consultants Of Phila, Norristown, PA 19401 Phone: 610-272-3253 Fax: 610-272-8826 |