Provider Demographics
NPI:1376760843
Name:MAPA, LYNNIE
Entity Type:Individual
Prefix:MRS
First Name:LYNNIE
Middle Name:
Last Name:MAPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 CLINTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2452
Mailing Address - Country:US
Mailing Address - Phone:201-384-3212
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL OF COLUMBIA PRESBYTERIAN HOSPITAL
Practice Address - Street 2:3959 BROADWAY
Practice Address - City:NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-8458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381034-1163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics