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NPI Code Detail

MEDICARE: STEPHANIE ASHLEY LYNCH FNP

MEDICARE: STEPHANIE ASHLEY LYNCH FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0996835-NPCO

General Provider Information

NPI Number : 1053762922
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ASHLEY LYNCH FNP
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 6340 BARNES RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-2602
Country : US
Telephone Number : 719-380-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 04/14/2026

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