Provider Demographics
NPI:1821024076
Name:MESSNER, LINDA S (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:MESSNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:SAVAGE
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 1:131 JPM RD
Practice Address - Street 2:SUITE A
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9309
Practice Address - Country:US
Practice Address - Phone:570-523-6115
Practice Address - Fax:570-523-7627
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004074B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA018385F6KMedicare PIN
PA02706100OtherKEYSTONE HEALTH PLAN
PA018385Medicare ID - Type Unspecified