Provider Demographics
NPI:1689101172
Name:NAYLOR, LINDSEY NICOLE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:NICOLE
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N NEW BALLAS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6840
Mailing Address - Country:US
Mailing Address - Phone:314-405-9556
Mailing Address - Fax:314-405-9557
Practice Address - Street 1:522 N NEW BALLAS RD STE 300
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6840
Practice Address - Country:US
Practice Address - Phone:314-405-9556
Practice Address - Fax:314-405-9557
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015677363LF0000X
MO2017003582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily