Healthcare Provider Details

I. General information

NPI: 1568377448
Provider Name (Legal Business Name): LYN ALLISON RATTIGAN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 EAGLE CREST BLVD
WINTER HAVEN FL
33881-3234
US

IV. Provider business mailing address

1436 EAGLE CREST BLVD
WINTER HAVEN FL
33881-3234
US

V. Phone/Fax

Practice location:
  • Phone: 929-969-7370
  • Fax:
Mailing address:
  • Phone: 929-969-7370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN9403197
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: