Provider Demographics
NPI:1467962357
Name:MALY, LINDSEY RENE (FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RENE
Last Name:MALY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 FM 61
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-8619
Mailing Address - Country:US
Mailing Address - Phone:940-550-5324
Mailing Address - Fax:
Practice Address - Street 1:1005 TX-16
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450
Practice Address - Country:US
Practice Address - Phone:940-282-2512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily