LYNNE M MUMAW GNP NPI 1407891310

NPI Information

NPI: 1407891310
Provider Name: LYNNE M MUMAW, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4010 AERIAL WAY
EUGENE, OR
ZIP 97402
Phone: (541) 242-8300
Get Directions

Lynne M Mumaw, GNP is a gerontology nurse practitioner in Eugene, OR with 35 years of experience. Lynne M Mumaw, GNP NPI is 1407891310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4010 AERIAL WAY
EUGENE, OR
ZIP 97402-757
Phone: (541) 242-8300

The NPI 1407891310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 6/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	200250107NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R113760	MEDICARE PIN	OREGON
2	S52867	MEDICARE UPIN
3	000594	MEDICAID	OREGON
4	RR PTAN 500026544	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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