Healthcare Provider Details

I. General information

NPI: 1386031326
Provider Name (Legal Business Name): BRENNA K OSMOLINSKI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 WILLOW STREET PIKE S
WILLOW STREET PA
17584-9373
US

IV. Provider business mailing address

3100 WILLOW STREET PIKE S
WILLOW STREET PA
17584-9373
US

V. Phone/Fax

Practice location:
  • Phone: 717-723-9104
  • Fax: 717-349-9388
Mailing address:
  • Phone: 717-723-9104
  • Fax: 717-349-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014853
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: