Provider Demographics
NPI:1720533839
Name:ROMPORTL, LYNSI NICOLE (DNP, APRN, CNP)
Entity Type:Individual
Prefix:DR
First Name:LYNSI
Middle Name:NICOLE
Last Name:ROMPORTL
Suffix:
Gender:F
Credentials:DNP, APRN, CNP
Other - Prefix:DR
Other - First Name:LYNSI
Other - Middle Name:NICOLE
Other - Last Name:ESPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, CNP
Mailing Address - Street 1:2200 NW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-5503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2200 NW 26TH ST
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-5503
Practice Address - Country:US
Practice Address - Phone:507-451-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP4682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily