MRS. LYNN LOUISE MAUPIN PMHNP-BC FNP-BC NPI 1902060080

NPI Information

NPI: 1902060080
Provider Name: MRS. LYNN LOUISE MAUPIN, PMHNP-BC, FNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
251 N ESTRELLA PKWY
GOODYEAR, AZ
ZIP 85338
Phone: (623) 760-7660
Get Directions

MRS. Lynn Louise Maupin, PMHNP-BC, FNP-BC is a psychiatric/mental health nurse practitioner in Goodyear, AZ. MRS. Lynn Louise Maupin, PMHNP-BC, FNP-BC NPI is 1902060080. 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:

251 N ESTRELLA PKWY
GOODYEAR, AZ
ZIP 85338-334
Phone: (623) 760-7660
Fax: (567) 243-7800

The NPI 1902060080 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 7/17/2008 and was last updated on 6/10/2023.

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	363LA2200X	Nurse Practitioner	Adult Health	AP3084	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	AP4302	ARIZONA	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP3084	ARIZONA	No
4	363LP2300X	Nurse Practitioner	Primary Care	AP3084	ARIZONA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP4302	ARIZONA	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	Other Provider Identifier Issuer
1	353173	MEDICAID	ARIZONA

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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