Provider Demographics
NPI:1831144708
Name:NYLUND, BARBARA LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LYNNE
Last Name:NYLUND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:165 ROWLAND WAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5038
Mailing Address - Country:US
Mailing Address - Phone:415-892-7537
Mailing Address - Fax:415-897-4903
Practice Address - Street 1:165 ROWLAND WAY
Practice Address - Street 2:SUITE 310
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5038
Practice Address - Country:US
Practice Address - Phone:415-892-7537
Practice Address - Fax:415-897-4903
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG35980207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE76322Medicare UPIN