Provider Demographics
NPI:1235579004
Name:NELSON, LINDSAY D'AMICO (ANP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:D'AMICO
Last Name:NELSON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:D'AMICO
Other - Last Name:HAMIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:2551 W 84TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3807
Mailing Address - Country:US
Mailing Address - Phone:303-561-5010
Mailing Address - Fax:303-561-5050
Practice Address - Street 1:PEACEHEALTH MEDICAL GROUP
Practice Address - Street 2:3301 SQUALICUM PARKWAY
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-788-8222
Practice Address - Fax:360-788-7759
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAN360959388363LF0000X
COAPN.0993042-NP363LF0000X
AK1422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1610433Medicaid
AKK166836Medicare PIN
AKK165585Medicare PIN