Individual provider · Type 1 NPI
Ise Kannebecker, CRNP
Nurse Practitioner · Lake Como, PA
Practice location
412 Como Rd
Lake Como, PA 18437-1020
Fax (570) 798-2636
Mailing address
601 Park St
Honesdale, PA 18431-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP015305 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1790156578
Ise Kannebecker, CRNP's National Provider Identifier is 1790156578, issued on Oct 19, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Como, PA. The record was last updated on Apr 6, 2023.