Provider Demographics
NPI:1336808484
Name:ALLEN, LINDSAY KATHRINE (MSN, ARNP, NP-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:KATHRINE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSN, ARNP, NP-C
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:KATHRINE
Other - Last Name:ZOGLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3755
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68103-0755
Mailing Address - Country:US
Mailing Address - Phone:402-354-5451
Mailing Address - Fax:
Practice Address - Street 1:808 E PIERCE ST
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-4601
Practice Address - Country:US
Practice Address - Phone:712-396-7550
Practice Address - Fax:712-396-4180
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2022-01-24
Deactivation Date:2022-01-10
Deactivation Code:
Reactivation Date:2022-01-24
Provider Licenses
StateLicense IDTaxonomies
IAA166632363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner