Provider Demographics
NPI:1912893975
Name:GAUDENCIO, LINDSAY MEGAN (RN)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MEGAN
Last Name:GAUDENCIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WINTER DR
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3321
Mailing Address - Country:US
Mailing Address - Phone:508-889-7741
Mailing Address - Fax:
Practice Address - Street 1:4499 ACUSHNET AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-4707
Practice Address - Country:US
Practice Address - Phone:508-995-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2310391163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical