Healthcare Provider Details

I. General information

NPI: 1043426828
Provider Name (Legal Business Name): LYNN ANN GROVE CRNA, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNN ANN GEIGER

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 THOMPSON ST
JERSEY SHORE PA
17740-1729
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-398-5131
  • Fax: 570-398-3195
Mailing address:
  • Phone: 570-271-6144
  • Fax: 570-271-6578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN332556L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP012332
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: