Provider Demographics
NPI:1740663392
Name:KELLER, LINDSAY (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:KELLER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 LINTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-8149
Mailing Address - Country:US
Mailing Address - Phone:561-276-2270
Mailing Address - Fax:
Practice Address - Street 1:2398 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1703
Practice Address - Country:US
Practice Address - Phone:212-721-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF345239363LF0000X
FLARNP9404034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily