Convery, Lynn M

Convery, Lynn M is an individual health care provider with primary practice located at 8101 34Th Ave S Mc26602G, Bloomington MN 55425-1692. 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. Convery, Lynn M can be contacted via phone (952) 883-6805.

Contact Information

Primary practice address
8101 34Th Ave S Mc26602G Bloomington MN 55425-1692
Phone: (952) 883-6805
Fax: (952) 883-6117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0827649 Minnesota

Profile Details

NPI number 1649244021
LBN Legal business name Convery, Lynn M
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 27th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649244021 NPPES
Minnesota MEDICAID 480519400

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