Provider Demographics
NPI:1205294568
Name:VANG, LINDSAY ANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ANN
Last Name:VANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-5000
Mailing Address - Fax:704-316-5010
Practice Address - Street 1:14135 BALLANTYNE CORPORATE PL STE 160
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4221
Practice Address - Country:US
Practice Address - Phone:704-316-5000
Practice Address - Fax:704-316-5010
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008293363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner