Provider Demographics
NPI:1982198263
Name:PERRY, LINDSEY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:RHODEOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4632 VENTANA REY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-3141
Mailing Address - Country:US
Mailing Address - Phone:702-810-1404
Mailing Address - Fax:
Practice Address - Street 1:4632 VENTANA REY ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-3141
Practice Address - Country:US
Practice Address - Phone:702-810-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily