Ensminger, Lynette S

Ensminger, Lynette S is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Ensminger, Lynette S can be contacted via phone (209) 550-4720.

Contact Information

Primary practice address
1409 E Briggsmore Ave Modesto CA 95355-2707
Phone: (209) 550-4720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN314733 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP1997 California

Profile Details

NPI number 1548447345
LBN Legal business name Ensminger, Lynette S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated May 26th, 2010 - about 14 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 1548447345 NPPES
California MEDICAID RN314733

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