Provider Demographics
NPI:1649513821
Name:NICHOLS, LINDSAY ROBIN (ARNP, CNM)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ROBIN
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ROBIN
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:321 MIDDLEFIELD RD STE 165
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4011
Mailing Address - Country:US
Mailing Address - Phone:650-498-6500
Mailing Address - Fax:
Practice Address - Street 1:321 MIDDLEFIELD RD STE 165
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4011
Practice Address - Country:US
Practice Address - Phone:650-498-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60321802367A00000X
CA235655367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife