Individual
LAUREN KNISELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 PINE GROVE CMNS, YORK, PA 17403-5151
(717) 741-5257
Mailing address
110 PINE GROVE CMNS, YORK, PA 17403-5151
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN627164
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN627164
PA
Other
Enumeration date
04/08/2016
Last updated
06/14/2019
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