Addie, Lynn Ellen

Addie, Lynn Ellen is an individual health care provider with primary practice located at 1995 Technology Pkwy , Mechanicsburg PA 17050-8522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Addie, Lynn Ellen can be contacted via phone (717) 782-3380.

Contact Information

Primary practice address
1995 Technology Pkwy Mechanicsburg PA 17050-8522
Phone: (717) 782-3380
Fax: (717) 782-5716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X VP006619B Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP006619B Pennsylvania

Profile Details

NPI number 1639126055
LBN Legal business name Addie, Lynn Ellen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated May 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639126055 NPPES
Pennsylvania Other 2677086 HIGHMARK BLUE SHIELD - FREEDOM BLUE
Pennsylvania Other 1602875 HIGHMARK BLUE SHIELD - FREEDOM BLUE
Pennsylvania MEDICAID 102654131 HIGHMARK BLUE SHIELD - FREEDOM BLUE

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