Provider Demographics
NPI:1386032126
Name:LINDSAY, DAVID BURT (RN)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BURT
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:DAVE
Other - Middle Name:BURT
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:9414 N CANYON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILLS
Mailing Address - State:UT
Mailing Address - Zip Code:84062-8812
Mailing Address - Country:US
Mailing Address - Phone:801-822-7725
Mailing Address - Fax:
Practice Address - Street 1:9414 N CANYON HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILLS
Practice Address - State:UT
Practice Address - Zip Code:84062-8812
Practice Address - Country:US
Practice Address - Phone:801-822-7725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-01
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT370610-3102163W00000X
UT370610-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT370610-4405OtherSTATE LICENSE APRN