Provider Demographics
NPI:1336163823
Name:LINDSAY, MARLENE VERONICA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:VERONICA
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4804 EDGEWATER DR STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-1126
Mailing Address - Country:US
Mailing Address - Phone:407-468-3626
Mailing Address - Fax:
Practice Address - Street 1:4804 EDGEWATER DR STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-1126
Practice Address - Country:US
Practice Address - Phone:407-574-2121
Practice Address - Fax:321-697-7000
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL281042363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health