Provider Demographics
NPI:1255884854
Name:TRANOVICH, LYNNMARIE (DNP, MSN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:LYNNMARIE
Middle Name:
Last Name:TRANOVICH
Suffix:
Gender:F
Credentials:DNP, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 VALBROOK CT S
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5784
Mailing Address - Country:US
Mailing Address - Phone:443-910-5336
Mailing Address - Fax:
Practice Address - Street 1:16 ABERDEEN SHOPPING PLZ
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2247
Practice Address - Country:US
Practice Address - Phone:410-272-8844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF0616596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily