Provider Demographics
NPI:1154818292
Name:PAGE, LINDY SANDERS (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:SANDERS
Last Name:PAGE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 CATSKILL AVE
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-4906
Mailing Address - Country:US
Mailing Address - Phone:501-786-3360
Mailing Address - Fax:
Practice Address - Street 1:4406 CATSKILL AVE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-4906
Practice Address - Country:US
Practice Address - Phone:501-786-3360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-14
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC003254367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered