Provider Demographics
NPI:1437486602
Name:LYNCH, MERRY CHARLOTTE (CD(DONA))
Entity type:Individual
Prefix:
First Name:MERRY
Middle Name:CHARLOTTE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 E SUNNYSLOPE LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2729
Mailing Address - Country:US
Mailing Address - Phone:602-795-1066
Mailing Address - Fax:602-476-1350
Practice Address - Street 1:1510 E SUNNYSLOPE LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2729
Practice Address - Country:US
Practice Address - Phone:602-795-1066
Practice Address - Fax:602-476-1350
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6322374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula