Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN0000012148 | TN |
NPI | 1184807422 |
---|---|
Provider Name | Ms. Lynda Marie Panaro |
First Address | Memphis, TN 38120-2225 |
Second Address | Germantown, TN 38138-3904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2007 |
Last Update Date | 10/12/2007 |