Individual
MIA GENEVA LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
820 S WASHINGTON AVE, SCRANTON, PA 18505-1639
(570) 595-4496
(570) 955-0139
Mailing address
820 S WASHINGTON AVE, SCRANTON, PA 18505-1639
(570) 595-4496
(570) 955-0139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023051
PA
363LW0102X
Women's Health Nurse Practitioner
SP023051
PA
Other
Enumeration date
01/07/2021
Last updated
12/26/2024
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