Provider Demographics
NPI:1356007900
Name:PAGLAICCETTI-LYNCH, JANINE ELIZABETH (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:ELIZABETH
Last Name:PAGLAICCETTI-LYNCH
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CANDLE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1401
Mailing Address - Country:US
Mailing Address - Phone:215-813-0002
Mailing Address - Fax:
Practice Address - Street 1:51 CANDLE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1401
Practice Address - Country:US
Practice Address - Phone:215-813-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15628000363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care