Provider Demographics
NPI:1003352659
Name:MANN, LINDSAY GRACE (FNP)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:GRACE
Last Name:MANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3490 CALIFORNIA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1892
Mailing Address - Country:US
Mailing Address - Phone:415-514-6200
Mailing Address - Fax:415-514-6410
Practice Address - Street 1:3490 CALIFORNIA ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1892
Practice Address - Country:US
Practice Address - Phone:415-514-6200
Practice Address - Fax:415-514-6410
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily