Provider Demographics
NPI:1386913747
Name:LYNCH, DONNA-MARIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:DONNA-MARIE
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 2ND AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2829
Mailing Address - Country:US
Mailing Address - Phone:781-416-8666
Mailing Address - Fax:
Practice Address - Street 1:300 CHESTNUT ST
Practice Address - Street 2:SUITE 800
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2497
Practice Address - Country:US
Practice Address - Phone:781-444-8177
Practice Address - Fax:781-449-5310
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN197443363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner