Provider Demographics
NPI:1538983465
Name:LYON, NATHALIE SOL (AGACNP)
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:SOL
Last Name:LYON
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3727 SISTINE MEWS
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75236-3028
Mailing Address - Country:US
Mailing Address - Phone:214-430-0695
Mailing Address - Fax:
Practice Address - Street 1:3727 SISTINE MEWS
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75236-3028
Practice Address - Country:US
Practice Address - Phone:214-430-0695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1179056363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care