Provider Demographics
NPI:1598005522
Name:PONSTEIN, LINDSAY P (FNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:P
Last Name:PONSTEIN
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 1:1051 GAUSE BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2999
Mailing Address - Country:US
Mailing Address - Phone:985-641-5523
Mailing Address - Fax:985-645-9411
Practice Address - Street 1:1051 GAUSE BLVD STE 360
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2999
Practice Address - Country:US
Practice Address - Phone:985-641-5523
Practice Address - Fax:985-645-9411
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN107136 AP07192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily