Provider Demographics
NPI:1801848536
Name:VON UNWERTH, LYNN (COGNP)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:VON UNWERTH
Suffix:
Gender:F
Credentials:COGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 BILTMORE AVENUE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4603
Mailing Address - Country:US
Mailing Address - Phone:828-252-7928
Mailing Address - Fax:828-253-1891
Practice Address - Street 1:603 BILTMORE AVENUE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4603
Practice Address - Country:US
Practice Address - Phone:828-252-7928
Practice Address - Fax:828-253-1891
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36483363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health