Provider Demographics
NPI:1326476326
Name:WHANG, LINDSEY MORALES (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MORALES
Last Name:WHANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:ALICE
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1172 N MACLAY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-1328
Mailing Address - Country:US
Mailing Address - Phone:818-898-1388
Mailing Address - Fax:818-270-9590
Practice Address - Street 1:1172 N MACLAY AVE
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-1328
Practice Address - Country:US
Practice Address - Phone:818-898-1388
Practice Address - Fax:818-270-9590
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23836164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse