Healthcare Provider Details

I. General information

NPI: 1083856330
Provider Name (Legal Business Name): LINDSAY M MORNINGSTAR MOYER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY M MORNINGSTAR

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 S MAIN ST
HUGHESVILLE PA
17737-1614
US

IV. Provider business mailing address

7 DOCK HILL RD
MIDDLEBURG PA
17842-8910
US

V. Phone/Fax

Practice location:
  • Phone: 570-584-5144
  • Fax: 570-584-5416
Mailing address:
  • Phone: 570-837-2123
  • Fax: 570-837-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP010140
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: