Individual
LYNNE M EVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5967
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143606B
—
GA
05
—
010585500
—
FL
Enumeration date
05/05/2010
Last updated
06/03/2014
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