Provider Demographics
NPI:1609412915
Name:KREPS, LINDSAY MCKAY (NP-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MCKAY
Last Name:KREPS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6496 E 750 S
Mailing Address - Street 2:
Mailing Address - City:PIERCETON
Mailing Address - State:IN
Mailing Address - Zip Code:46562-9297
Mailing Address - Country:US
Mailing Address - Phone:260-615-2585
Mailing Address - Fax:
Practice Address - Street 1:504 COLONIAL CT
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-1860
Practice Address - Country:US
Practice Address - Phone:574-935-0127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009944A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily