Provider Demographics
NPI:1073956470
Name:OLDHAM, LINDSEY ANN (RN, NNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANN
Last Name:OLDHAM
Suffix:
Gender:F
Credentials:RN, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 SAINT IVES CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-2761
Mailing Address - Country:US
Mailing Address - Phone:316-371-8944
Mailing Address - Fax:
Practice Address - Street 1:1324 SAINT IVES CT
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-2761
Practice Address - Country:US
Practice Address - Phone:316-371-8944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000168082163W00000X
TNAPN0000017963363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163W00000XNursing Service ProvidersRegistered Nurse