Doctor Name: | MS. CAROLINE KAYE LYNN |
NPI Number: | 1669773404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 191652 |
Business Practice Address: | 720 Malcolm Blvd Valdese, NC - 286902872 |
Business Phone Number: | 8285807536 |
Business Fax Number: | 8285807537 |
Mailing Address: | 720 Malcolm Blvd, VALDESE |
State: | NC |
Postal Code: | 286902872 |
Phone Number: | 8285807536 |
Fax Number: | 8285807537 |
NPI Enumeration Date: | 11/10/2010 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 191652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |