Provider Demographics
NPI:1447867601
Name:LYNCH, CAITLIN (FNP-BC, MSN, RN)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:FNP-BC, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1093 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2100
Mailing Address - Country:US
Mailing Address - Phone:781-963-0676
Mailing Address - Fax:781-986-0208
Practice Address - Street 1:1093 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2100
Practice Address - Country:US
Practice Address - Phone:781-963-0676
Practice Address - Fax:781-986-0208
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2261669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily