Provider Demographics
NPI:1932865706
Name:MILLS, KRYSTLE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KRYSTLE
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2173 EMBASSY DR STE 523
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2387
Mailing Address - Country:US
Mailing Address - Phone:717-675-6320
Mailing Address - Fax:717-675-6321
Practice Address - Street 1:2173 EMBASSY DR STE 523
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2387
Practice Address - Country:US
Practice Address - Phone:717-675-6320
Practice Address - Fax:717-675-6321
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024482363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health