Provider Demographics
NPI:1629647664
Name:SCHOOLCRAFT, LINDSAY N
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:N
Last Name:SCHOOLCRAFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-2119
Mailing Address - Country:US
Mailing Address - Phone:304-348-7740
Mailing Address - Fax:
Practice Address - Street 1:285 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:WV
Practice Address - Zip Code:25043-9413
Practice Address - Country:US
Practice Address - Phone:304-587-4266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV70606163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool