Mia Patricia Love, CRNP
Nurse Practitioner, Gerontology in Lititz, PA. Individual provider (NPI-1).
NPI number1710782818
StatusActive
Last updated in NPPESFeb 10, 2026
Details
- NPI
- 1710782818
- Entity type
- Individual (NPI-1)
- Name
- Mia Patricia Love
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 10, 2026
- Last updated
- Feb 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | SP030510 | PA | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | SP030510 | PA | |
| 363LA2200X | Nurse Practitioner, Adult Health | SP030510 | PA |
Practice location
1535 Highlands Dr Ste 100Lititz, PA 17543-7681
Phone 717-627-4088 · Fax 717-627-4089
Mailing address
1535 Highlands Dr Ste 100Lititz, PA 17543-7681
Phone 717-627-4088 · Fax 717-627-4089
Other practice locations
80 Doe Run Rd
Manheim, PA 17545-9314
Manheim, PA 17545-9314
Phone 717-664-0952 · Fax 717-664-0955
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