Provider Demographics
NPI:1780086132
Name:VAN PARYS, LINDSAY D (APRN, CPNP, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:D
Last Name:VAN PARYS
Suffix:
Gender:F
Credentials:APRN, CPNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-5320
Mailing Address - Country:US
Mailing Address - Phone:501-364-2660
Mailing Address - Fax:501-364-4938
Practice Address - Street 1:5401 JFK BLVD STE E1
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-6756
Practice Address - Country:US
Practice Address - Phone:501-291-1126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004159363LP0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics