Provider Demographics
NPI:1437666138
Name:MICHAELS, LINDSEY M (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8673
Mailing Address - Country:US
Mailing Address - Phone:828-608-2016
Mailing Address - Fax:828-608-2029
Practice Address - Street 1:302 PITTS STREET
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655
Practice Address - Country:US
Practice Address - Phone:828-608-2016
Practice Address - Fax:828-608-2029
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-03
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010141207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1649239633OtherALL
NC1649239633Medicaid