Provider Demographics
NPI:1144656547
Name:SEN, NAVY (FNP)
Entity type:Individual
Prefix:MRS
First Name:NAVY
Middle Name:
Last Name:SEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:NAVY
Other - Middle Name:
Other - Last Name:SEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:265 HOLLY LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-3843
Mailing Address - Country:US
Mailing Address - Phone:717-330-0426
Mailing Address - Fax:
Practice Address - Street 1:2435 OLD PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:SMOKETOWN
Practice Address - State:PA
Practice Address - Zip Code:17576
Practice Address - Country:US
Practice Address - Phone:717-656-8615
Practice Address - Fax:717-208-3284
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1144656547OtherNPI
PA1144656547Medicaid