Individual
MRS. LINDSEY LEANN SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AG-ACNP
Contact information
Practice address
1101 GLENDALE BLVD STE 103, VALPARAISO, IN 46383-3769
(219) 464-9054
(219) 465-1749
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-3616
(219) 364-3610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041437122
IL
163W00000X
Registered Nurse
28215273A
IN
363L00000X
Nurse Practitioner
Primary
71009567A
IN
Other
Enumeration date
06/21/2019
Last updated
09/29/2020
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