Provider Demographics
NPI:1972068179
Name:LINDSAY, SANDRA K (APRN NP-C)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:K
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:APRN NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37435 BEACH DR
Mailing Address - Street 2:
Mailing Address - City:UMATILLA
Mailing Address - State:FL
Mailing Address - Zip Code:32784-8854
Mailing Address - Country:US
Mailing Address - Phone:352-409-0622
Mailing Address - Fax:
Practice Address - Street 1:37435 BEACH DR
Practice Address - Street 2:
Practice Address - City:UMATILLA
Practice Address - State:FL
Practice Address - Zip Code:32784-8854
Practice Address - Country:US
Practice Address - Phone:352-409-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2744032363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner