Provider Demographics
NPI:1578155529
Name:SARVER, LYNN (RN)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:SARVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:TIMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1912 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-2609
Mailing Address - Country:US
Mailing Address - Phone:262-442-0990
Mailing Address - Fax:
Practice Address - Street 1:1912 CARDINAL DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-2609
Practice Address - Country:US
Practice Address - Phone:262-442-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI224265-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse