Provider Demographics
NPI:1356635627
Name:STUERMAN, LYNDSEY NYKIEL (ANP)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSEY
Middle Name:NYKIEL
Last Name:STUERMAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:ANNE
Other - Last Name:NYKIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:PO BOX 2127
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:CO
Mailing Address - Zip Code:80442-2127
Mailing Address - Country:US
Mailing Address - Phone:636-485-0266
Mailing Address - Fax:
Practice Address - Street 1:214 SOUTH 4TH ST
Practice Address - Street 2:
Practice Address - City:KREMMLING
Practice Address - State:CO
Practice Address - Zip Code:80459-0399
Practice Address - Country:US
Practice Address - Phone:970-724-3442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-04
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0010282-NP363LA2200X
KS53-75121-021363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
A1009239OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
COAPN-0010282-NPOtherADVANCED PRACTICE LICENSE