Provider Demographics
NPI:1245641984
Name:SYLVES-MUENCH, LORI L (RN, MSN, FNP, APN-BC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:L
Last Name:SYLVES-MUENCH
Suffix:
Gender:F
Credentials:RN, MSN, FNP, APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3185 E USTICK RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646
Mailing Address - Country:US
Mailing Address - Phone:302-345-0448
Mailing Address - Fax:
Practice Address - Street 1:3185 E USTICK RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646
Practice Address - Country:US
Practice Address - Phone:848-221-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00485600363LF0000X
WAAP 60630468363LF0000X
ID54575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily