Provider Demographics
NPI:1073955928
Name:BEDORA, LINDSAY G (RN, APRN, WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:G
Last Name:BEDORA
Suffix:
Gender:F
Credentials:RN, APRN, WHNP-BC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:G
Other - Last Name:HARTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1611 DEER RUN RD
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:64075-5210
Mailing Address - Country:US
Mailing Address - Phone:816-478-0220
Mailing Address - Fax:
Practice Address - Street 1:19550 E 39TH ST S
Practice Address - Street 2:SUITE 300
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2303
Practice Address - Country:US
Practice Address - Phone:816-478-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-20
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013025600363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health