Provider Demographics
NPI:1073985990
Name:MACNEIL, LINDSEY KATHLEEN (FNP-C, MPH)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KATHLEEN
Last Name:MACNEIL
Suffix:
Gender:F
Credentials:FNP-C, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 E PRATT ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1968
Mailing Address - Country:US
Mailing Address - Phone:603-707-1177
Mailing Address - Fax:
Practice Address - Street 1:1931 E PRATT ST APT 2R
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1968
Practice Address - Country:US
Practice Address - Phone:603-707-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR202738363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily