| Willard Lynch Pmhnp-bc, Pllc | |
|
4735 N 1st Ave Tucson AZ 85718-5610 | |
| (520) 552-6053 | |
| Not Available |
| Full Name | Willard Lynch Pmhnp-bc, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4735 N 1st Ave, Tucson, Arizona |
| Authorized Official Name and Position | Willard Lynch (SOLE OWNER/SOLE PRACTITIONER) |
| Authorized Official Contact | 5202411426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willard Lynch Pmhnp-bc, Pllc 4735 N 1st Ave Tucson AZ 85718-5610 Ph: (520) 552-6053 | Willard Lynch Pmhnp-bc, Pllc 4735 N 1st Ave Tucson AZ 85718-5610 Ph: (520) 552-6053 |
| NPI Number | 1467082404 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Medicare PECOS PAC ID | 7618304908 |
|---|---|
| Medicare Enrollment ID | O20200226001930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467082404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Willard Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801377601 PECOS PAC ID: 7911245386 Enrollment ID: I20190208002938 |
| Provider Name | Kailey A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427780824 PECOS PAC ID: 7214384882 Enrollment ID: I20231103002940 |
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