Provider Demographics
NPI:1497006464
Name:LYNCH, RACHEL DISKIN (RN, PNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DISKIN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RN, PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2412
Mailing Address - Country:US
Mailing Address - Phone:415-826-1701
Mailing Address - Fax:
Practice Address - Street 1:1701 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2412
Practice Address - Country:US
Practice Address - Phone:571-217-5361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-30
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22985363LP0200X, 363LP0200X
CA831913163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse