Provider Demographics
NPI:1497084032
Name:ST CYR, LINDSEY (APN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:ST CYR
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 N MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-1347
Mailing Address - Country:US
Mailing Address - Phone:731-792-1911
Mailing Address - Fax:731-792-0314
Practice Address - Street 1:313 N MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1347
Practice Address - Country:US
Practice Address - Phone:731-792-1911
Practice Address - Fax:731-792-0314
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14407363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1516143Medicaid
TN1516143Medicaid
TNP00796422Medicare PIN