Healthcare Provider Details

I. General information

NPI: 1902543051
Provider Name (Legal Business Name): CHRISTINA MICHELLE LYNCH CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 MAPLETON AVE STE 200
MIDDLETOWN DE
19709-1560
US

IV. Provider business mailing address

10 W WORTHINGTON BLVD
SMYRNA DE
19977-4524
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax:
Mailing address:
  • Phone: 443-366-0793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberLK-0010215
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: