Provider Demographics
NPI:1477945095
Name:HAFFERTY, LYNDSAY (FNP)
Entity Type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:
Last Name:HAFFERTY
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 1:3336 E CHANDLER HEIGHTS RD STE 132
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4264
Mailing Address - Country:US
Mailing Address - Phone:480-988-4645
Mailing Address - Fax:480-988-4745
Practice Address - Street 1:3336 E CHANDLER HEIGHTS RD STE 132
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-4264
Practice Address - Country:US
Practice Address - Phone:480-988-4645
Practice Address - Fax:480-988-4745
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7754363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily