Provider Demographics
NPI:1083856330
Name:MOYER, LINDSAY M MORNINGSTAR (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M MORNINGSTAR
Last Name:MOYER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:MORNINGSTAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:246 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HUGHESVILLE
Practice Address - State:PA
Practice Address - Zip Code:17737-1614
Practice Address - Country:US
Practice Address - Phone:570-584-5144
Practice Address - Fax:570-584-5416
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010140363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022952770002Medicaid
PA152456F6KOtherMEDICARE