Provider Demographics
NPI:1770233454
Name:PHILLIPS, LINDSEY LEANN (APRN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:LEANN
Last Name:PHILLIPS
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:PO BOX 230181
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89105-0181
Mailing Address - Country:US
Mailing Address - Phone:702-837-1265
Mailing Address - Fax:702-837-1706
Practice Address - Street 1:12300 LAS VEGAS BLVD S
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-9506
Practice Address - Country:US
Practice Address - Phone:702-837-1265
Practice Address - Fax:702-837-1706
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV852803363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care