Provider Demographics
NPI:1972142404
Name:HOLMAN, LINDSAY RENAE (APRN)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:RENAE
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 LORING ST
Mailing Address - Street 2:
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-1923
Mailing Address - Country:US
Mailing Address - Phone:316-651-3788
Mailing Address - Fax:
Practice Address - Street 1:1218 LORING ST
Practice Address - Street 2:
Practice Address - City:HAYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:67060-1923
Practice Address - Country:US
Practice Address - Phone:316-651-3788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-01
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5378604022363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care