Provider Demographics
NPI:1326483488
Name:MAURO, LYNDA (RN)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:
Last Name:MAURO
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 1:12 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ROSENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12472-9727
Mailing Address - Country:US
Mailing Address - Phone:845-206-6791
Mailing Address - Fax:
Practice Address - Street 1:12 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ROSENDALE
Practice Address - State:NY
Practice Address - Zip Code:12472-9727
Practice Address - Country:US
Practice Address - Phone:845-206-6791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY426688163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health