Provider Demographics
NPI:1871032334
Name:POCHANT, LINDSEY (CRNA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:POCHANT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:PETRIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3702 AUTOMATION WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5738
Mailing Address - Country:US
Mailing Address - Phone:970-224-2985
Mailing Address - Fax:970-223-1118
Practice Address - Street 1:3702 AUTOMATION WAY STE 103
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5738
Practice Address - Country:US
Practice Address - Phone:970-224-2985
Practice Address - Fax:970-223-1118
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2116367500000X
COAPN.0994635-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered