Provider Demographics
NPI:1023089729
Name:LENNON, MARLENE PATRICIA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:PATRICIA
Last Name:LENNON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:821 SAINT HELENA HWY S STE 2
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-2266
Mailing Address - Country:US
Mailing Address - Phone:707-967-7751
Mailing Address - Fax:707-967-7552
Practice Address - Street 1:821 SAINT HELENA HWY S STE 2
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-2266
Practice Address - Country:US
Practice Address - Phone:707-967-7551
Practice Address - Fax:707-967-7552
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA7432363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily