Individual
NA NA MIKNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 TRINITY DR E STE 120, DILLSBURG, PA 17019-8522
(717) 432-5430
(717) 432-9296
Mailing address
1 TRINITY DR E STE 120, DILLSBURG, PA 17019-8522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015080
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103032501
—
PA
Enumeration date
07/20/2015
Last updated
01/27/2021
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