MEDICARE: LYNN MARIE STENGEL NP

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	363LF0000X	Family Nurse Practitioner	F331683	NY
2	363L00000X	Nurse Practitioner	ARNP9254267	FL

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	:	1386607034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN MARIE STENGEL NP

Provider Business Mailing Address
First Line	:	4161 TAMIAMI TRL
Second Line	:	SUITE 201
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-9204
Country	:	US
Telephone Number	:	941-764-0800
Fax Number	:	941-764-6494

Provider Business Practice Location Address
First Line	:	4161 TAMIAMI TRL
Second Line	:	SUITE 201
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-9204
Country	:	US
Telephone Number	:	941-764-0800
Fax Number	:	941-764-6494

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	07/25/2008

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