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NPI Code Detail

MEDICARE: ROBIN KEISHA LYNCH-VARELA APN-CPNP

MEDICARE: ROBIN KEISHA LYNCH-VARELA APN-CPNP
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
1363LP0200XPediatric Nurse Practitioner26NJ00386400NJ

General Provider Information

NPI Number : 1467707448
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN KEISHA LYNCH-VARELA APN-CPNP
Provider Business Mailing Address
First Line : 1050 MANTUA PIKE
Second Line : SUITE 200
City : WENONAH
State : NJ
Zip : 08090-1141
Country : US
Telephone Number : 856-853-0848
Fax Number : 856-853-1889
Provider Business Practice Location Address
First Line : 1050 MANTUA PIKE
Second Line : SUITE 200
City : WENONAH
State : NJ
Zip : 08090-1141
Country : US
Telephone Number : 856-853-0848
Fax Number : 856-853-1889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 11/09/2016

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