Provider Demographics
NPI:1467995142
Name:MOOK, LINDSAY (AGAC-NP -BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:MOOK
Suffix:
Gender:F
Credentials:AGAC-NP -BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3526
Mailing Address - Country:US
Mailing Address - Phone:401-519-8939
Mailing Address - Fax:844-897-4669
Practice Address - Street 1:82 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3526
Practice Address - Country:US
Practice Address - Phone:401-519-8939
Practice Address - Fax:844-897-4669
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICAPRN01458363LA2200X, 363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology