Provider Demographics
NPI:1609185107
Name:BERSON, LINDSEY M (NP-C)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:M
Last Name:BERSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:M
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19005 SE 34TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-1450
Mailing Address - Country:US
Mailing Address - Phone:360-726-6720
Mailing Address - Fax:360-726-6729
Practice Address - Street 1:19005 SE 34TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-1450
Practice Address - Country:US
Practice Address - Phone:360-726-6720
Practice Address - Fax:360-726-6729
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008333363LF0000X
WAAP60871306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily