Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 5009708 | NC |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5009708 | NC |
NPI | 1265190847 |
---|---|
Provider Name | Natalie Gordon Lynch |
First Address | Wilmington, NC 28401-7515 |
Second Address | Wilmington, NC 28401-7515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2021 |
Last Update Date | 01/12/2021 |