Provider Demographics
NPI:1932658762
Name:FARNSWORTH, LYNDSAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSAY
Middle Name:
Last Name:FARNSWORTH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LYNDSAY
Other - Middle Name:
Other - Last Name:GRASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:300 6TH ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5034
Mailing Address - Country:US
Mailing Address - Phone:605-393-2812
Mailing Address - Fax:
Practice Address - Street 1:4840 HOMESTEAD ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-0194
Practice Address - Country:US
Practice Address - Phone:605-393-2812
Practice Address - Fax:605-393-2861
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD-RN R035810163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool