Provider Demographics
NPI:1699175984
Name:WARREN DAVIS, LINDSEY (FPMHNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:WARREN DAVIS
Suffix:
Gender:F
Credentials:FPMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 EASY WIND DR STE 130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-2373
Mailing Address - Country:US
Mailing Address - Phone:512-628-1898
Mailing Address - Fax:512-600-8149
Practice Address - Street 1:7020 EASY WIND DR STE 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-2373
Practice Address - Country:US
Practice Address - Phone:512-628-1898
Practice Address - Fax:512-600-8149
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP 126151363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health