HEATHER LYNN DIFFENDALL

LEBANON, PA
NPI1194197731
Former NameHEATHER LYNN GOODWIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: PA  SP015445)
Additional Taxonomies363LG0600X Nurse Practitioner Gerontology
(Licence: PA  MD3716339)
Enumeration Date2015-10-22
Last Update Date2024-07-08
Business Address
HEATHER LYNN DIFFENDALL CRNP
850 TUCK ST
LEBANON, PA 17042-7477
Phone number: 717-272-8173
Mailing Address
HEATHER LYNN DIFFENDALL CRNP
601 MEMORY LN
YORK, PA 17402-2231
Phone number: 717-851-1405