Provider Demographics
NPI:1700287729
Name:ASP, LINDSEY J (RN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:J
Last Name:ASP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 3RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:CLEARBROOK
Mailing Address - State:MN
Mailing Address - Zip Code:56634-4241
Mailing Address - Country:US
Mailing Address - Phone:218-776-3508
Mailing Address - Fax:218-776-3507
Practice Address - Street 1:221 3RD AVE SW
Practice Address - Street 2:
Practice Address - City:CLEARBROOK
Practice Address - State:MN
Practice Address - Zip Code:56634-4241
Practice Address - Country:US
Practice Address - Phone:218-776-3508
Practice Address - Fax:218-776-3507
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1800893174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNR113991-2OtherREGISTERED NURSE LICENSE NUMBER