Provider Demographics
NPI:1134815574
Name:PRESTENG, LINDSAY ADAIR (FNP-BC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ADAIR
Last Name:PRESTENG
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 LESSARD AVE
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237-2704
Mailing Address - Country:US
Mailing Address - Phone:701-330-1114
Mailing Address - Fax:
Practice Address - Street 1:816 W MIDWAY DR
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237-7501
Practice Address - Country:US
Practice Address - Phone:701-352-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR39925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily