Healthcare Provider Details

I. General information

NPI: 1346557048
Provider Name (Legal Business Name): LYNNE A ARMIGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 EASTERN SHORE DR
SALISBURY MD
21804-5513
US

IV. Provider business mailing address

400 EASTERN SHORE DR P.O. BOX 49
SALISBURY MD
21804-5513
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-0821
  • Fax: 410-219-5662
Mailing address:
  • Phone: 410-749-0821
  • Fax: 410-219-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC000826
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: