Provider Demographics
NPI:1649676693
Name:EDE, LINDSAY (RN, BSN)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:EDE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:WARRENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EXECUTIVE DIRECTOR
Mailing Address - Street 1:3131 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-3908
Mailing Address - Country:US
Mailing Address - Phone:563-588-1145
Mailing Address - Fax:563-588-3875
Practice Address - Street 1:3131 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3908
Practice Address - Country:US
Practice Address - Phone:563-588-1145
Practice Address - Fax:563-588-3875
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health