Provider Demographics
NPI:1164939674
Name:LINDSEY, JUVI T (APN)
Entity Type:Individual
Prefix:
First Name:JUVI
Middle Name:T
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:EDUVIGIS
Other - Middle Name:TIBERIO
Other - Last Name:LINDSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JUVI LINDSEY
Mailing Address - Street 1:5332 W STARGAZER PL
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-4512
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6739 W CACTUS RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5311
Practice Address - Country:US
Practice Address - Phone:833-242-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-05
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ270887363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care