Individual
MS. LYNN E MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
17 MONTADALE DR, DILLSBURG, PA 17019-9102
(717) 580-6615
Mailing address
17 MONTADALE DR, DILLSBURG, PA 17019-9102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN232931L
PA
363L00000X
Nurse Practitioner
Primary
TP003364G
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
TP003364G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03154501
BLUE CROSS/CAIC
PA
01
—
524806
PHCS
PA
01
—
7185116
GATEWAY
PA
Enumeration date
04/11/2006
Last updated
08/11/2016
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