Individual provider · Type 1 NPI
Lynda R. Formosa, CRNP
Family Nurse Practitioner · Mckeesport, PA
NPI number
1477665172
Active
Practice location
331 Shaw Ave
Mckeesport, PA 15132-2918
Mailing address
3085 Route 30
Georgetown, PA 15043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP007728 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477665172
Lynda R. Formosa, CRNP's National Provider Identifier is 1477665172, issued on Aug 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mckeesport, PA. The record was last updated on Nov 11, 2019.