Provider Demographics
NPI:1053641696
Name:MCCRIGHT, LYN (RN)
Entity Type:Individual
Prefix:
First Name:LYN
Middle Name:
Last Name:MCCRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10001 WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8523
Mailing Address - Country:US
Mailing Address - Phone:254-751-7111
Mailing Address - Fax:254-751-7112
Practice Address - Street 1:10001 WILLOW BEND DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8523
Practice Address - Country:US
Practice Address - Phone:254-751-7111
Practice Address - Fax:254-751-7111
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX445149364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health