Individual
TINA EIDEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2411
Mailing address
605 OTSU RD, WILLOW STREET, PA 17584-9602
(717) 851-2411
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN311601L
PA
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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