Provider Demographics
NPI:1609359009
Name:NAYLOR, LINDSEY (RN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 FOUNTAIN VALLEY WAY NE APT 201
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4890
Mailing Address - Country:US
Mailing Address - Phone:503-798-5695
Mailing Address - Fax:
Practice Address - Street 1:443 FOUNTAIN VALLEY WAY NE APT 201
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4890
Practice Address - Country:US
Practice Address - Phone:503-798-5695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201806016RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse