Provider Demographics
NPI:1679592711
Name:CARSTENS-ELLIOT, LYNNEA (CNM,NP)
Entity Type:Individual
Prefix:
First Name:LYNNEA
Middle Name:
Last Name:CARSTENS-ELLIOT
Suffix:
Gender:F
Credentials:CNM,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4917
Mailing Address - Country:US
Mailing Address - Phone:845-357-5333
Mailing Address - Fax:845-357-2347
Practice Address - Street 1:134 ROUTE 59
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4917
Practice Address - Country:US
Practice Address - Phone:845-357-5333
Practice Address - Fax:845-357-2347
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF360100-1363LX0001X
NYF00089367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife