Healthcare Provider Details

I. General information

NPI: 1801809462
Provider Name (Legal Business Name): LYNNE MARGARET DEMPSEY RN, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE # 112
PALO ALTO CA
94304-1207
US

IV. Provider business mailing address

3801 MIRANDA AVE # 112
PALO ALTO CA
94304-1207
US

V. Phone/Fax

Practice location:
  • Phone: 650-852-3398
  • Fax: 650-852-3430
Mailing address:
  • Phone: 650-852-3398
  • Fax: 650-852-3430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number71
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: