Provider Demographics
NPI:1679034284
Name:LINDAHL, BRITTANY D'NEL (CRNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D'NEL
Last Name:LINDAHL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:HEILWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15745-0006
Mailing Address - Country:US
Mailing Address - Phone:814-421-5939
Mailing Address - Fax:
Practice Address - Street 1:2128 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3384
Practice Address - Country:US
Practice Address - Phone:724-349-4362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020175363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103652294-0001Medicaid