Provider Demographics
NPI:1417393349
Name:BIRD, LYNN C (RN)
Entity Type:Individual
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First Name:LYNN
Middle Name:C
Last Name:BIRD
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:715 HORIZON DR STE 225
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8743
Mailing Address - Country:US
Mailing Address - Phone:970-683-7107
Mailing Address - Fax:970-683-7276
Practice Address - Street 1:515 28 3/4 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-5016
Practice Address - Country:US
Practice Address - Phone:970-241-6023
Practice Address - Fax:970-683-7276
Is Sole Proprietor?:No
Enumeration Date:2013-05-19
Last Update Date:2015-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0991346-NP363LP0808X
COACB7193101YA0400X
CO102626163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163W00000XNursing Service ProvidersRegistered Nurse