Individual
MS. TAMMY LYNNE MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 LINGLESTOWN RD, HARRISBURG, PA 17112-1017
(717) 231-8508
(717) 231-8535
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8923
(717) 231-8588
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN289427L
PA
363LG0600X
Gerontology Nurse Practitioner
SP016113
PA
Other
Enumeration date
03/16/2017
Last updated
07/21/2022
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