MEDICARE: DENISE A FLYNN MSN, PMHCNS-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	APRN03262	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144308008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE A FLYNN MSN, PMHCNS-BC

Provider Business Mailing Address
First Line	:	34950 CHARDON RD STE 202
Second Line	:
City	:	WILLOUGHBY HILLS
State	:	OH
Zip	:	44094-9162
Country	:	US
Telephone Number	:	440-510-5100
Fax Number	:	440-510-5151

Provider Business Practice Location Address
First Line	:	34950 CHARDON RD STE 202
Second Line	:
City	:	WILLOUGHBY HILLS
State	:	OH
Zip	:	44094-9162
Country	:	US
Telephone Number	:	440-510-5100
Fax Number	:	440-510-5151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/29/2024

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