Provider Demographics
NPI:1700883576
Name:MILLER, LINDA ANLIOT (CRNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANLIOT
Last Name:MILLER
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1566
Mailing Address - Fax:717-812-3950
Practice Address - Street 1:2250 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2857
Practice Address - Country:US
Practice Address - Phone:717-851-1566
Practice Address - Fax:717-812-3950
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN521487L163W00000X
PASP008392363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2119462OtherHIGHMARK BLUE SHIELD (FB)-WMG
MD645613OtherCAREFIRST MD BCBS-WMG
MD645613OtherCAREFIRST MD BCBS-WMG
PA088558Medicare PIN