Lynn Bates, RN, FNC

Individual provider Active NPI Nutrition Support Registered Nurse · Stevenson Ranch, CA

NPI 1962356741 · NPPES record last updated Feb 26, 2026

Key facts

NPI
1962356741
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Support Registered Nurse 163WN1003X
License
500377 (CA)
Practice address
25322 Joyce PL
Stevenson Ranch, CA 91381-1514
Phone
(661) 618-0936
NPI assigned
Feb 26, 2026
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
500377CAMDNutrition Support Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WN1003X 500377 CA Yes

Addresses

Primary practice location

25322 Joyce PL
Stevenson Ranch, CA 91381-1514

Mailing address

25322 Joyce PL
Stevenson Ranch, CA 91381-1514
Phone (661) 618-0936

Other providers in Stevenson Ranch, CA

All providers in Stevenson Ranch, CA · Nutrition Support Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.