Healthcare Provider Details

I. General information

NPI: 1285407403
Provider Name (Legal Business Name): LINELLE ANN DENAPLES CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 QUINCY AVE
SCRANTON PA
18510-1798
US

IV. Provider business mailing address

504 MAY DR
SCRANTON PA
18505-4310
US

V. Phone/Fax

Practice location:
  • Phone: 570-770-5000
  • Fax:
Mailing address:
  • Phone: 570-878-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP028549
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: