Provider Demographics
NPI:1457833584
Name:VALLIANT, LINDSEY A (RN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:VALLIANT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HORTON CIR
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88345-6032
Mailing Address - Country:US
Mailing Address - Phone:575-630-7800
Mailing Address - Fax:
Practice Address - Street 1:200 HORTON CIR
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-6032
Practice Address - Country:US
Practice Address - Phone:575-630-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR36266163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool