Provider Demographics
NPI:1184233835
Name:LYNCH, HANNAH (MSN, RN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MSN, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1 WALPOLE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3315
Mailing Address - Country:US
Mailing Address - Phone:617-958-6036
Mailing Address - Fax:617-360-3002
Practice Address - Street 1:1 WALPOLE ST STE 2
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3315
Practice Address - Country:US
Practice Address - Phone:617-958-6036
Practice Address - Fax:617-360-3002
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2297634363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health