Individual
MS. LYNNETTE A DECILLIS
Active
Individual
MS. LYNNETTE A DECILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 13102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
(PIN):ZZZ30041Z
PROVIDER IDENTIFICATION #
CA
01
—
RN518440
MEDICAL PROVIDER RENDERIN
CA
Enumeration date
11/02/2006
Last updated
11/29/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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