Provider Demographics
NPI:1619023744
Name:LYNCH, WENDY MARIE (RNFA)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 SE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1528
Mailing Address - Country:US
Mailing Address - Phone:239-772-7852
Mailing Address - Fax:239-772-9841
Practice Address - Street 1:313 SE 6TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1528
Practice Address - Country:US
Practice Address - Phone:239-772-7852
Practice Address - Fax:239-772-9841
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1559892163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant