Healthcare Provider Details
I. General information
NPI: 1003586058
Provider Name (Legal Business Name): GINA DOWNEY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/20/2021
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2510 W MARKET ST
POTTSVILLE PA
17901-1830
US
IV. Provider business mailing address
3421 CONCORD RD
YORK PA
17402-9001
US
V. Phone/Fax
- Phone: 570-855-9269
- Fax:
- Phone: 717-273-8835
- Fax: 717-202-0100
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | SP024465 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: