Provider Demographics
NPI:1437342466
Name:BONSANTO, LINDSAY E (APN-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:E
Last Name:BONSANTO
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:E
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN-C
Mailing Address - Street 1:605 HAMBURG TPKE
Mailing Address - Street 2:APT 209
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1461
Mailing Address - Country:US
Mailing Address - Phone:973-248-6685
Mailing Address - Fax:973-389-9976
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:SUITE 2
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-389-9975
Practice Address - Fax:973-389-9976
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00146400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health