Provider Demographics
NPI:1235805268
Name:LYNCH, NATALIE JEAN (CRNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JEAN
Last Name:LYNCH
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 1:207 SUMMERCHASE DR APT 207
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2823
Mailing Address - Country:US
Mailing Address - Phone:256-345-4411
Mailing Address - Fax:
Practice Address - Street 1:500 CAHABA PARK CIR STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8136
Practice Address - Country:US
Practice Address - Phone:205-847-5700
Practice Address - Fax:205-848-2915
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-133918363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics