Provider Demographics
NPI:1427022862
Name:COTE, LYNN M (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:M
Last Name:COTE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325C KENNEDY MEMORIAL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4565
Mailing Address - Country:US
Mailing Address - Phone:207-872-9911
Mailing Address - Fax:207-872-9112
Practice Address - Street 1:325C KENNEDY MEMORIAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4565
Practice Address - Country:US
Practice Address - Phone:207-872-9911
Practice Address - Fax:207-872-9112
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER035106207Q00000X
MEAP081381363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME278480099Medicaid
P04890Medicare UPIN
MENP238501Medicare PIN