Provider Demographics
NPI:1649429184
Name:FLEISCHER, LINDSEY M (ARNP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:FLEISCHER
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 1:144 169TH ST S STE A
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-8242
Mailing Address - Country:US
Mailing Address - Phone:253-538-4660
Mailing Address - Fax:253-538-4675
Practice Address - Street 1:144 169TH ST S STE A
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-8242
Practice Address - Country:US
Practice Address - Phone:253-538-4660
Practice Address - Fax:253-538-4675
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00168213163W00000X
WAAP60035781363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1092371Medicaid
WA0255756OtherSTATE L&I
WA0240108OtherSTATE L&I
G8875964Medicare PIN