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PENN MEDICINE LGHP GERIATRICS
NPI 1306213020
Nurse Practitioner - Family in Willow Street, PA

Active since August 28, 2015
212 WILLOW LAKES DR., SUITE 101, WILLOW STREET, PA 17584(717) 464-0286 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penn Medicine Lghp Geriatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN MEDICINE LGHP GERIATRICS (NPI 1306213020) is a healthcare organization registered as a family in Willow Street, Pennsylvania and active in the NPI registry since August 2015. The organization lists Kimberly Brown, Provider Coordinator, as its authorized official.

NPPES Registry Identity

NPI1306213020
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePENN MEDICINE LGHP GERIATRICS
Location Address212 WILLOW LAKES DR., SUITE 101Willow Street, PA 17584
Mailing Address212 Willow Valley Lakes Dr Ste 101Willow Street, PA 17584-9668 · (717) 464-0286 · Fax (717) 945-4575
Phone(717) 464-0286
Organization SubpartNo
Authorized OfficialKimberly BrownProvider Coordinator · (717) 544-1921
Enumeration DateAugust 28, 2015
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1306213020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
212 WILLOW LAKES DR., Willow Street, PA 17584
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn Medicine Lghp Geriatrics's NPI number?

The NPI number for Penn Medicine Lghp Geriatrics is 1306213020. It was assigned to this organization in the NPPES registry on August 28, 2015.

Where is Penn Medicine Lghp Geriatrics located?

Penn Medicine Lghp Geriatrics is located at 212 Willow Lakes Dr. Suite 101, Willow Street, PA 17584. The listed phone number is (717) 464-0286.

What is Penn Medicine Lghp Geriatrics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Penn Medicine Lghp Geriatrics was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.