Provider Demographics
NPI:1023441391
Name:FARJO, LINDA T (CRNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:T
Last Name:FARJO
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1700
Mailing Address - Fax:717-851-1710
Practice Address - Street 1:25 MONUMENT RD STE 190
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5059
Practice Address - Country:US
Practice Address - Phone:717-851-6454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3011493OtherHIGHMARK BLUE SHIELD-FREEDOM BLUE
PA314323FLTMedicare PIN