MR. JUSTIN ROBERT WALZL (NPI# 1356685374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356685374 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN ROBERT WALZL |
| Credential | CRNP |
| Practice Address |
802 New Holland Ave Suite 200 Lancaster PA 17602-2287 |
| Practice Telephone | 7172910700 |
| Practice Fax Number | 7172919634 |
| Mailing Telephone | 7172910700 |
| Mailing Fax Number | 7173580246 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP014682 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012526 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
802 NEW HOLLAND AVE SUITE 200 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068137 | Leo George Dorozynsky | Psychiatry & Neurology | 802 New Holland Ave, Lancaster, PA 17602-2287 | 2005-07-26 |
| 1033741988 | Sheila O. Jourdain | Nurse Practitioner | 802 New Holland Ave, Lancaster, PA 17602-2287 | 2020-02-09 |
| 1538681283 | Lancaster Health Center | Clinic/Center | 802 New Holland Ave, Lancaster, PA 17602-2288 | 2017-07-14 |
| 1609324227 | Adriane Davia Esposito | Counselor | 802 New Holland Ave, Suite 100, Lancaster, PA 17602-2287 | 2016-09-12 |
| 1588076434 | Rise Perry | Nurse Practitioner | 802 New Holland Ave, Suite 200, Lancaster, PA 17602-2287 | 2014-05-27 |
| 1568897114 | Kaitlyn Nicole Henry | Social Worker | 802 New Holland Ave, Suite 100, Lancaster, PA 17602-2287 | 2013-09-13 |
| 1487999660 | Courtney Bates | Nurse Practitioner | 802 New Holland Ave, Suite 200, Lancaster, PA 17602-2287 | 2012-11-29 |
| 1386918779 | Umesh Chander Mishra | Internal Medicine | 802 New Holland Ave, Suite 200, Lancaster, PA 17602-2287 | 2012-03-02 |
| 1841500048 | Melissa A Kretz | Registered Nurse | 802 New Holland Ave, Suite 200, Lancaster, PA 17602-2287 | 2010-10-21 |
| 1851600423 | Amanda Morgan | Social Worker | 802 New Holland Ave, Lancaster, PA 17602-2287 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1083211361 | Jessica Nicole Paradise | Nurse Practitioner | 2112 Harrisburg Pike Ste 3, Lancaster, PA 17601-2644 | 2020-10-08 |
| 1497360184 | Wambui June Mwangi | Nurse Practitioner | 1821 Kaylyn St, Lancaster, CA 93535-2970 | 2020-09-10 |
| 1245841063 | Shannah Click | Nurse Practitioner | 1683 Kirksville Rd, Lancaster, KY 40444-9715 | 2020-08-14 |
| 1609498658 | Christien Eileen Olewniczak | Nurse Practitioner | 3592 Walden Ave Apt 3, Lancaster, NY 14086-1267 | 2020-05-13 |
| 1154955565 | Courtney Phillips | Nurse Practitioner | 333 Lancaster Byp E, Lancaster, SC 29720-4758 | 2020-02-24 |
| 1609416205 | Michelle De Ynchausti | Nurse Practitioner | 42135 10th St W Ste 201, Lancaster, CA 93534-6093 | 2020-01-10 |
| 1073151049 | Julia Scott | Nurse Practitioner | 667 Steinman Dr, Lancaster, PA 17603-2351 | 2019-12-20 |
| 1780229682 | Brandi Ann Tipple | Nurse Practitioner | 2855 Wheeling Rd Ne, Lancaster, OH 43130-8508 | 2019-11-14 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.