Provider Demographics
NPI:1861028102
Name:CERRONE, LINDSAY SUE (FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:SUE
Last Name:CERRONE
Suffix:
Gender:F
Credentials:FNP-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:104 QUAIL TRAIL
Mailing Address - Street 2:STE B
Mailing Address - City:EDGEWOOD
Mailing Address - State:NM
Mailing Address - Zip Code:87015-9593
Mailing Address - Country:US
Mailing Address - Phone:505-926-9700
Mailing Address - Fax:505-788-5660
Practice Address - Street 1:104 QUAIL TRL APT B
Practice Address - Street 2:STE B
Practice Address - City:EDGEWOOD
Practice Address - State:NM
Practice Address - Zip Code:87015-7197
Practice Address - Country:US
Practice Address - Phone:505-926-9700
Practice Address - Fax:505-788-5660
Is Sole Proprietor?:No
Enumeration Date:2020-03-18
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM59290207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine