Individual ProviderSandra Elizabeth Urban-LynchNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Road East, Mail Route Mn 008-B-213, Minnetonka, MN 55343(785) 380-9084(478) 538-0908PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Elizabeth Urban-Lynch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1477564102Provider TypeIndividualFull NameUrban-Lynch, Sandra ElizabethCredentialNPGenderFemaleSole ProprietorNoEnumeration Date8/10/2006Last Updated6/29/2020Contact InformationPractice LocationPractice Address9900 Bren Road East, Mail Route Mn 008-B-213, Minnetonka, MN 55343Phone(785) 380-9084FaxUnlisted FaxMailing LocationMailing Address9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343Phone(478) 538-0908FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNPP36391Rhode IslandCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN239768Massachusetts