Provider Demographics
NPI:1265822423
Name:LYNN, SHAYLA (LPN)
Entity Type:Individual
Prefix:
First Name:SHAYLA
Middle Name:
Last Name:LYNN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8484B SHARON MERCER RD
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-3140
Mailing Address - Country:US
Mailing Address - Phone:724-269-7030
Mailing Address - Fax:724-269-7030
Practice Address - Street 1:8484B SHARON MERCER RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-3140
Practice Address - Country:US
Practice Address - Phone:724-269-7030
Practice Address - Fax:724-269-7030
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN274397164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse