Provider Demographics
NPI:1689032377
Name:LINDSAY, DEBRA ANN (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:ANN
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:STAGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:5840 BALUSTRADE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98513-5076
Mailing Address - Country:US
Mailing Address - Phone:360-970-2267
Mailing Address - Fax:
Practice Address - Street 1:5840 BALUSTRADE BLVD SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98513-5076
Practice Address - Country:US
Practice Address - Phone:360-970-2267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 60593300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily