Provider Demographics
NPI:1043363534
Name:ABRAMOWITZ, LYNNE ELLEN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:ELLEN
Last Name:ABRAMOWITZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 KINGLET CIR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1362
Mailing Address - Country:US
Mailing Address - Phone:336-285-8599
Mailing Address - Fax:
Practice Address - Street 1:3803 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2593
Practice Address - Country:US
Practice Address - Phone:336-541-0778
Practice Address - Fax:336-540-6156
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008019363LF0000X
NC5004102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2593440Medicare PIN
PA080722QZAMedicare ID - Type Unspecified