Basic Information
Provider Information
NPI: 1821024076
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MESSNER
FirstName: LINDA
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SAVAGE
OtherFirstName: LINDA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 7 DOCK HILL RD
Address2:  
City: MIDDLEBURG
State: PA
PostalCode: 178428910
CountryCode: US
TelephoneNumber: 5708372123
FaxNumber: 5708372185
Practice Location
Address1: 131 JPM RD
Address2: SUITE A
City: LEWISBURG
State: PA
PostalCode: 178379309
CountryCode: US
TelephoneNumber: 5705236115
FaxNumber: 5705237627
Other Information
ProviderEnumerationDate: 06/22/2006
LastUpdateDate: 08/23/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XVP004074BPAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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