Church, Lynn M
Church, Lynn M is an individual health care provider with primary practice located at 5750 W Thunderbird Rd Suite G 700, Glendale AZ 85306-4660. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Church, Lynn M can be contacted via phone (602) 843-5455.Contact Information
Primary practice address
5750 W Thunderbird Rd Suite G 700
Glendale AZ 85306-4660
Phone: (602) 843-5455
Fax: (602) 843-8426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN057432 | Arizona |
Profile Details
| NPI number | 1619961109 |
|---|---|
| LBN Legal business name | Church, Lynn M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jun 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619961109 | NPPES |
| Arizona | MEDICAID | 577281 |
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