Provider Demographics
NPI:1467833855
Name:SANTAMARIA, LYNNE SONYA I (RN)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:SONYA
Last Name:SANTAMARIA
Suffix:I
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:SONYA
Other - Last Name:HOOD
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2261 ELM ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3721
Mailing Address - Country:US
Mailing Address - Phone:650-678-1709
Mailing Address - Fax:
Practice Address - Street 1:2261 ELM ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3721
Practice Address - Country:US
Practice Address - Phone:650-678-1709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA458511163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse