Healthcare Provider Details

I. General information

NPI: 1699934539
Provider Name (Legal Business Name): LYN RAHMING CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 EAST ST STE 1400
METHUEN MA
01844-4550
US

IV. Provider business mailing address

60 EAST ST STE 1400
METHUEN MA
01844-4550
US

V. Phone/Fax

Practice location:
  • Phone: 978-689-4601
  • Fax: 978-689-3096
Mailing address:
  • Phone: 978-689-4601
  • Fax: 978-689-3096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number173447
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: