Individual provider · NPI-1
Lynn Ann Estelle, CPNP
Nurse Practitioner, Pediatrics · Babylon, NY
NPI number1639330194
StatusActive
Last updated in NPPESJun 18, 2008
Details
- NPI
- 1639330194
- Entity type
- Individual (NPI-1)
- Name
- Lynn Ann Estelle
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2008
- Last updated
- Jun 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 344739-1 | NY | Yes |
Practice location
655 Deer Park AveBabylon, NY 11702-1314
Phone 631-321-2220
Mailing address
655 Deer Park AveBabylon, NY 11702-1314
Phone 631-321-2220
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