Provider Demographics
NPI:1003976531
Name:FEW, LYNDA MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:MARIE
Last Name:FEW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LYNDA
Other - Middle Name:MARIE
Other - Last Name:BARABAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:RR 4 BOX 421
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-9478
Mailing Address - Country:US
Mailing Address - Phone:409-489-2581
Mailing Address - Fax:
Practice Address - Street 1:3560 DELAWARE ST # 601
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3067
Practice Address - Country:US
Practice Address - Phone:409-924-9666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231874363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner