Provider Demographics
NPI:1609362300
Name:LYNCH, MELISSA (BSN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CHRISTY DR
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9682
Mailing Address - Country:US
Mailing Address - Phone:610-675-1111
Mailing Address - Fax:610-675-1112
Practice Address - Street 1:5 CHRISTY DR
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9682
Practice Address - Country:US
Practice Address - Phone:610-675-1111
Practice Address - Fax:610-675-1112
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1992763908163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse