Luckenbill, Heather L

Luckenbill, Heather L is an individual health care provider with primary practice located at 1701 Innovation Dr , York PA 17408-8815. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Luckenbill, Heather L can be contacted via phone (717) 850-4040.

Contact Information

Primary practice address
1701 Innovation Dr York PA 17408-8815
Phone: (717) 850-4040
Fax: (717) 850-4144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP012880 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 018033 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NJ00356100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP012880 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN556384 Pennsylvania

Profile Details

NPI number 1750650198
LBN Legal business name Luckenbill, Heather L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated Jul 23rd, 2021 - about 4 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 1750650198 NPPES
New Jersey Other NJ00356100 MEDICAL LICENSE

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