Individual
LINDSEY STATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 MIDDLEBURG DR, MYRTLE BEACH, SC 29579
(843) 903-6650
Mailing address
200 MIDDLEBURG DR, MYRTLE BEACH, SC 29579-3408
(843) 903-6650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4394
SC
363LF0000X
Family Nurse Practitioner
4394
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9084
MEDICARE GROUP
SC
05
—
NP1743
—
SC
Enumeration date
09/14/2010
Last updated
07/18/2019
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