Diana Lynn, FNP-BC | |
2617 Explorer Cv, Port Hueneme, CA 93041-1555 | |
(918) 703-0624 | |
Not Available |
Full Name | Diana Lynn |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2617 Explorer Cv, Port Hueneme, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104537869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 843584 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95021720 (California) | Primary |
Entity Name | Global Wound Care Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Mailing Address | Practice Location Address |
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Diana Lynn, FNP-BC 2617 Explorer Cv, Port Hueneme, CA 93041-1555 Ph: (918) 703-0624 | Diana Lynn, FNP-BC 2617 Explorer Cv, Port Hueneme, CA 93041-1555 Ph: (918) 703-0624 |
Mr. Paul Wilson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 162 1st St, Port Hueneme, CA 93043 Phone: 805-982-6362 | |
Maureen Alsol, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 430 Park Ave, Port Hueneme, CA 93041 Phone: 805-487-3881 | |
Elynita Nagar Arella, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 430 Park Ave, Port Hueneme, CA 93041 Phone: 805-437-3881 Fax: 805-487-3963 |