Amanda Lynch
Individual provider Active NPI Medical-Surgical Registered Nurse · Big Flats, NY
NPI 1104338292 · NPPES record last updated Dec 14, 2019
Key facts
- NPI
- 1104338292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 745481 (NY)
- Practice address
- 12 Orchard Dr
Big Flats, NY 14814-7905 - Phone
- (607) 215-1295
- NPI assigned
- Oct 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 745481 | NY | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 745481 | NY | Yes |
Addresses
Primary practice location
12 Orchard Dr
Big Flats, NY 14814-7905
Mailing address
12 Orchard Dr
Big Flats, NY 14814-7905
Phone (607) 215-1295
Other names
- Amanda Larson
Other providers in Big Flats, NY
- Devin John Hull
- Joyce Ellen Hyatt
- Colleen Berry Ignaszewski
- Laura C. Koralewski
- Linda J Lincoln
- Robert Louis Madden
- Gina Malloy
- Suzanne D. Maschmeyer
- James D Mills
- Patrick H. Mitchell
All providers in Big Flats, NY · Medical-Surgical Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.