Healthcare Provider Details

I. General information

NPI: 1386726479
Provider Name (Legal Business Name): MAUREEN M. LYNCH CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD FL 16
HONOLULU HI
96814-4402
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD FL 16
HONOLULU HI
96814-4402
US

V. Phone/Fax

Practice location:
  • Phone: 808-432-7600
  • Fax:
Mailing address:
  • Phone: 808-432-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPRN-392
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number313854
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: