LYNN MALCOLM


Address: 32 Carte Pl, Pleasant Hill, CA 94523-2013
Phone: 9259355066

LYNN MALCOLM (NPI# 1366069106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366069106
Entity Type Individual
Full Name LYNN MALCOLM
Credential RN
Practice Address 32 Carte Pl
Pleasant Hill
CA 94523-2013
Practice Telephone 9259355066
Mailing Telephone 9259355066
Enumeration Date 2020-06-27
Last Update Date 2020-06-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
307002 CA Nursing Service Providers

Office Location

Street Address 32 CARTE PL
City PLEASANT HILL
State CA
Zip Code 94523-2013

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City PLEASANT HILL
Zip Code 94523

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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