Provider Demographics
NPI:1306488812
Name:LINN, MARIA BELEN-MONTELLANO (CRNP, FNP-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:BELEN-MONTELLANO
Last Name:LINN
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 VILLAGE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-6943
Mailing Address - Country:US
Mailing Address - Phone:717-701-8819
Mailing Address - Fax:
Practice Address - Street 1:419 VILLAGE DR STE 5
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-6943
Practice Address - Country:US
Practice Address - Phone:717-701-8819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019497363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner