Individual provider · Type 1 NPI

Tammy Lynne Miceli

Gerontology Nurse Practitioner · Harrisburg, PA

NPI number 1740721208 Active

Practice location

4000 Linglestown Rd
Harrisburg, PA 17112-1017

Fax (717) 231-8535

Mailing address

409 S 2nd St Ste 2F
Harrisburg, PA 17104-1612

Other practice locations

  • 770 Poplar Church Rd, Camp Hill, PA 17011-2302 · (717) 231-8508
  • 102 Chandra Dr, Duncannon, PA 17020-9745 · (717) 231-8508
  • 25 Cove Rd, Duncannon, PA 17020-9514 · (717) 231-8508
  • 1205 S 28th St, Harrisburg, PA 17111-1046 · (717) 231-8508
  • 3625 N Progress Ave, Harrisburg, PA 17110-9690 · (717) 231-8508
  • 100 Mount Allen Dr, Mechanicsburg, PA 17055-6171 · (717) 231-8508
  • 800 King Russ Rd, Harrisburg, PA 17109-5101 · (717) 231-8508

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XSP016113 (PA)
Gerontology Nurse Practitioner Primary 363LG0600XRN289427L (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740721208

Tammy Lynne Miceli's National Provider Identifier is 1740721208, issued on Mar 16, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Harrisburg, PA. The record was last updated on Sep 2, 2026.