Provider Demographics
NPI:1720419971
Name:FFIELD, LYNELLE K (RN)
Entity Type:Individual
Prefix:
First Name:LYNELLE
Middle Name:K
Last Name:FFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 BROWNS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-8544
Mailing Address - Country:US
Mailing Address - Phone:541-296-7810
Mailing Address - Fax:
Practice Address - Street 1:4315 BROWNS CREEK RD
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-8544
Practice Address - Country:US
Practice Address - Phone:541-296-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201141784RN163WH0200X
WARN60338160163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health