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NPI Code Detail

MEDICARE: MS. LINDA ANN GORT CRNP (FNP)

MEDICARE: MS. LINDA ANN GORT CRNP (FNP)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner335751NY
2363L00000XNurse PractitionerTP004141BPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TP004141BOTHERPANP LICENSE

General Provider Information

NPI Number : 1043256076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ANN GORT CRNP (FNP)
Provider Business Mailing Address
First Line : 304 N WATER ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3374
Country : US
Telephone Number : 717-299-6371
Fax Number : 717-945-1587
Provider Business Practice Location Address
First Line : 802 NEW HOLLAND AVE STE 200
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2288
Country : US
Telephone Number : 717-299-6371
Fax Number : 717-945-1587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 03/16/2018

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