RENEE C LYON ARNP NPI 1922190651

NPI Information

NPI: 1922190651
Provider Name: RENEE C LYON, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 564-4157
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Renee C Lyon, ARNP is a family nurse practitioner in University Place, WA. Renee C Lyon, ARNP NPI is 1922190651. 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:

4401 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
ZIP 98466-201
Phone: (253) 564-4157
Fax: (253) 564-4813

The enumeration date for this NPI number is 9/29/2006 and was last updated on 9/5/2014.

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	163W00000X	Registered Nurse		RN00157089	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP30007419	WASHINGTON	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	8943195	OTHER	WASHINGTON	STATE CRIME VICTIMS
2	0222891	OTHER	WASHINGTON	STATE L&I
3	0213407	OTHER	WASHINGTON	STATE L&I
4	9650235	MEDICAID	WASHINGTON
5	G8865914	MEDICARE PIN	WASHINGTON
6	8945094	OTHER	WASHINGTON	STATE CRIME VICTIMS
7	G8865273	MEDICARE PIN	WASHINGTON
8	Q78785	MEDICARE UPIN

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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