Provider Demographics
NPI:1790514800
Name:CLAUSER, KELSEY (CRNP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:CLAUSER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:AMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:235 MAPLE BLVD
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9618
Mailing Address - Country:US
Mailing Address - Phone:570-573-4679
Mailing Address - Fax:
Practice Address - Street 1:300 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-2426
Practice Address - Country:US
Practice Address - Phone:570-366-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030173363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care