Provider Demographics
NPI:1003802216
Name:ANDREWS, LYNN C (CRNA)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:C
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 674293
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4293
Mailing Address - Country:US
Mailing Address - Phone:469-559-5880
Mailing Address - Fax:888-514-7033
Practice Address - Street 1:6000 W SPRING CREEK PKWY STE 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4111
Practice Address - Country:US
Practice Address - Phone:468-559-5880
Practice Address - Fax:888-514-7033
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28158485A367500000X
TXAP137189367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200078690Medicaid
INCA9280MMedicare PIN