Healthcare Provider Details

I. General information

NPI: 1619767530
Provider Name (Legal Business Name): RHIANNON MARIE LYNESS MSN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

1773 E WATERFORD CT APT 814
AKRON OH
44313-8386
US

V. Phone/Fax

Practice location:
  • Phone: 330-546-6060
  • Fax:
Mailing address:
  • Phone: 269-325-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0038101
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: