Provider Demographics
NPI:1326432782
Name:WOHRLEY, LINDSAY (NP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:WOHRLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:R
Other - Last Name:APPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6785 WEAVER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-8055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6785 WEAVER RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-8055
Practice Address - Country:US
Practice Address - Phone:815-561-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041371647163W00000X
IL209012783363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse