Provider Demographics
NPI:1912934159
Name:LYNCH, FAYE WELDON (RN PNP)
Entity Type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:WELDON
Last Name:LYNCH
Suffix:
Gender:F
Credentials:RN PNP
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Mailing Address - Street 1:1100 CHURCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:NC
Mailing Address - Zip Code:27551
Mailing Address - Country:US
Mailing Address - Phone:252-257-3780
Mailing Address - Fax:
Practice Address - Street 1:544 W RIDGEWAY ST
Practice Address - Street 2:WARREN CO HEALTH DEPT
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589
Practice Address - Country:US
Practice Address - Phone:252-257-1185
Practice Address - Fax:252-257-4867
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC056930163W00000X
NC300310363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse