Provider Demographics
NPI:1053348813
Name:BYRNES, MARIAN CATHERINE LYNCH (RN, CNOR CRNFA)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:CATHERINE LYNCH
Last Name:BYRNES
Suffix:
Gender:F
Credentials:RN, CNOR CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PARK PL
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4922
Mailing Address - Country:US
Mailing Address - Phone:570-287-6636
Mailing Address - Fax:
Practice Address - Street 1:43 PARK PL
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-4922
Practice Address - Country:US
Practice Address - Phone:570-287-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN211443L163W00000X, 163WR0006X
NY356996163W00000X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant