Provider Demographics
NPI:1114196128
Name:STE. MARIE, LYNNE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:ANN
Last Name:STE. MARIE
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 1:83275 CALYPSO CIR
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-6986
Mailing Address - Country:US
Mailing Address - Phone:760-238-2295
Mailing Address - Fax:267-508-0597
Practice Address - Street 1:83275 CALYPSO CIR
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-6986
Practice Address - Country:US
Practice Address - Phone:760-238-2295
Practice Address - Fax:267-508-0597
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-23
Last Update Date:2008-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA542493163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse