Provider Demographics
NPI:1902051527
Name:NAZZARO, LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:
Last Name:NAZZARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 498
Mailing Address - Street 2:52 CYPRESS LN
Mailing Address - City:SHENOROCK
Mailing Address - State:NY
Mailing Address - Zip Code:10587-0000
Mailing Address - Country:US
Mailing Address - Phone:914-248-6297
Mailing Address - Fax:
Practice Address - Street 1:317 NORTH STREET
Practice Address - Street 2:JOHN A. COLEMAN SCHOOL
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-0000
Practice Address - Country:US
Practice Address - Phone:914-597-4099
Practice Address - Fax:914-597-4053
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259968-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse