Provider Demographics
NPI:1710521869
Name:ALVARADO, LINDSAY DAWN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:DAWN
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 N. CHESTNUT
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:KS
Mailing Address - Zip Code:67855
Mailing Address - Country:US
Mailing Address - Phone:620-492-1400
Mailing Address - Fax:620-492-1608
Practice Address - Street 1:404 N. CHESTNUT
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:KS
Practice Address - Zip Code:67850
Practice Address - Country:US
Practice Address - Phone:620-492-1400
Practice Address - Fax:620-492-1608
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79096-011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner