Provider Demographics
NPI:1518932771
Name:TAMBURRINO, LYNNE R (RN, APN-C)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:R
Last Name:TAMBURRINO
Suffix:
Gender:F
Credentials:RN, APN-C
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:
Other - Last Name:REIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 1348
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962-1348
Mailing Address - Country:US
Mailing Address - Phone:973-644-4844
Mailing Address - Fax:973-644-4776
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:CAROL G. SIMON CANCER CENTER
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-644-4844
Practice Address - Fax:973-644-4776
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAPN-26NJ00020600363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0062201Medicaid
NJ0062201Medicaid