Provider Demographics
NPI:1760823058
Name:FERNANDEZ, LYNDSEY MARIA
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:MARIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12316 28TH AVE NE APT 312
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5425
Mailing Address - Country:US
Mailing Address - Phone:336-327-7054
Mailing Address - Fax:
Practice Address - Street 1:12316 28TH AVE NE APT 312
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5425
Practice Address - Country:US
Practice Address - Phone:336-327-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula