Individual
MARY ELLEN LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,NP-C, CNM
Contact information
Practice address
AMERICAN ADDICTION TREATMENT CENTER, 12695 MCMANUS BLVD, BDG 2, NEWPORT NEWS, VA 23602
(757) 234-4139
Mailing address
1905 GABRIEL ARCHER LN, HAMPTON, VA 23665-2428
(570) 807-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001261360
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024-173374
VA
367A00000X
Advanced Practice Midwife
Primary
—
VA
Other
Enumeration date
03/16/2016
Last updated
04/24/2019
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