Individual
WANNI LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
75 E DERRY RD, HERSHEY, PA 17033-2705
(717) 835-0700
(717) 835-0702
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN714958
PA
363L00000X
Nurse Practitioner
Primary
SP027679
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041873030001
—
PA
Enumeration date
04/10/2023
Last updated
07/20/2023
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