Provider Demographics
NPI:1245369537
Name:SCOLPINO, LYNNETTE M (CNM)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:M
Last Name:SCOLPINO
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Mailing Address - Street 1:235 PLAIN ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3240
Mailing Address - Country:US
Mailing Address - Phone:401-421-1710
Mailing Address - Fax:401-861-2164
Practice Address - Street 1:235 PLAIN ST
Practice Address - Street 2:SUTIE 401
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3240
Practice Address - Country:US
Practice Address - Phone:401-421-1710
Practice Address - Fax:401-861-2164
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2012-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMW00051367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife