Provider Demographics
NPI:1902543051
Name:LYNCH, CHRISTINA (CNM)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W WORTHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-4524
Mailing Address - Country:US
Mailing Address - Phone:443-366-0793
Mailing Address - Fax:
Practice Address - Street 1:401 PURDY ST STE 2
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4060
Practice Address - Country:US
Practice Address - Phone:410-820-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDACOO4408176B00000X
DE367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife