Provider Demographics
NPI:1760560940
Name:HAMRICK, LYNNE M (FNP)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:M
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:M
Other - Last Name:ROMWEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-899-5437
Mailing Address - Fax:330-899-5447
Practice Address - Street 1:1622 E TURKEYFOOT LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5277
Practice Address - Country:US
Practice Address - Phone:330-899-5437
Practice Address - Fax:330-899-5447
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA-02304-NP363L00000X
CA21462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHANP02451Medicare PIN
OHS74654Medicare UPIN
OH1093893497OtherGROUP NPI NUMBER
OH2341308Medicaid