Provider Demographics
NPI:1235660184
Name:SEYBOLD, LYNN ANN (NP-C)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:ANN
Last Name:SEYBOLD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:ANN
Other - Last Name:MCELROY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1725 EDWARDS WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1805
Mailing Address - Country:US
Mailing Address - Phone:412-606-7786
Mailing Address - Fax:
Practice Address - Street 1:1725 EDWARDS WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1805
Practice Address - Country:US
Practice Address - Phone:412-606-7786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily