Healthcare Provider Details

I. General information

NPI: 1528976552
Provider Name (Legal Business Name): EMILY NIXON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 RED ROSE CT STE 104
LANCASTER PA
17601-1981
US

IV. Provider business mailing address

930 RED ROSE CT STE 104
LANCASTER PA
17601-1981
US

V. Phone/Fax

Practice location:
  • Phone: 717-287-1983
  • Fax: 717-614-1000
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036825
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: