Provider Demographics
NPI:1356392997
Name:HAMLIN, LYNETTE A (CNM, RN)
Entity type:Individual
Prefix:DR
First Name:LYNETTE
Middle Name:A
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:CNM, RN
Other - Prefix:DR
Other - First Name:LYNETTE
Other - Middle Name:
Other - Last Name:AMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, RN
Mailing Address - Street 1:4301 JONES BRIDGE RD
Mailing Address - Street 2:ROOM E-1046
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4712
Mailing Address - Country:US
Mailing Address - Phone:301-295-0733
Mailing Address - Fax:301-295-1707
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-4712
Practice Address - Country:US
Practice Address - Phone:301-295-0733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT147367A00000X
MDR232816367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30344654Medicaid
NH30344654Medicaid
NHAM-RE8971Medicare ID - Type Unspecified