Provider Demographics
NPI:1699533935
Name:YOUNG, LYNDSEY NICOLE (RN)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:NICOLE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:NICOLE
Other - Last Name:WYRYBKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5538 TRIPP WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4970
Mailing Address - Country:US
Mailing Address - Phone:480-383-3950
Mailing Address - Fax:
Practice Address - Street 1:2615 SIERRA MEADOWS DR
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2126
Practice Address - Country:US
Practice Address - Phone:916-532-1246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95358718163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool