Provider Demographics
NPI:1407348675
Name:COWARD, LINDSEY VICTORIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:VICTORIA
Last Name:COWARD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 PINE ST BLDG 4
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VT
Mailing Address - Zip Code:05443-1043
Mailing Address - Country:US
Mailing Address - Phone:802-453-3911
Mailing Address - Fax:802-453-6105
Practice Address - Street 1:61 PINE ST BLDG 4
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VT
Practice Address - Zip Code:05443-1043
Practice Address - Country:US
Practice Address - Phone:802-453-3911
Practice Address - Fax:802-453-6105
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21807363LF0000X
VT101-0134517363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily