Provider Demographics
NPI:1710506787
Name:PLAIR, LINDSEY DELCASINO (DNP, FNP-C, C-EFM)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:DELCASINO
Last Name:PLAIR
Suffix:
Gender:F
Credentials:DNP, FNP-C, C-EFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 SOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4215
Mailing Address - Country:US
Mailing Address - Phone:704-334-8087
Mailing Address - Fax:
Practice Address - Street 1:1212 SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4215
Practice Address - Country:US
Practice Address - Phone:704-334-8087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC501-2955363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC501-2955OtherSTATE LICENSE NUMBER