Healthcare Provider Details

I. General information

NPI: 1821951468
Provider Name (Legal Business Name): LYNETTE N WELLS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNETTE BICH CHI NGUYEN RN

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 CHESTNUT DR
ESCONDIDO CA
92025-5264
US

IV. Provider business mailing address

967 CHESTNUT DR
ESCONDIDO CA
92025-5264
US

V. Phone/Fax

Practice location:
  • Phone: 760-917-5643
  • Fax:
Mailing address:
  • Phone: 760-917-5643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95296730
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: