Provider Demographics
NPI:1174592026
Name:KESSLER, HEATHER (CRNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:WEDDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2150 NOLL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-7605
Mailing Address - Country:US
Mailing Address - Phone:717-874-4297
Mailing Address - Fax:717-874-4298
Practice Address - Street 1:4310 LONDONDERRY RD STE 109
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5329
Practice Address - Country:US
Practice Address - Phone:717-988-0611
Practice Address - Fax:717-231-8778
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008921363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098579PCEMedicare PIN
PAQ64051Medicare UPIN