MR. JUSTIN ROBERT WALZL CRNP NPI 1356685374

NPI Information

NPI: 1356685374
Provider Name: MR. JUSTIN ROBERT WALZL, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
802 NEW HOLLAND AVE
SUITE 200
LANCASTER, PA
ZIP 17602
Phone: (717) 291-0700
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MR. Justin Robert Walzl, CRNP is a family nurse practitioner in Lancaster, PA with 12 years of experience. MR. Justin Robert Walzl, CRNP NPI is 1356685374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

802 NEW HOLLAND AVE
SUITE 200
LANCASTER, PA
ZIP 17602-287
Phone: (717) 291-0700
Fax: (717) 291-9634

The NPI 1356685374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	SP014682	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	SP012526	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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