Provider Demographics
NPI:1780169367
Name:WEESIES, LINDSEY KATHRYN (FNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:KATHRYN
Last Name:WEESIES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:KATHRYN
Other - Last Name:VANDENHEUVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3065 WEESIES RD
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:MI
Mailing Address - Zip Code:49437-9551
Mailing Address - Country:US
Mailing Address - Phone:231-893-2157
Mailing Address - Fax:
Practice Address - Street 1:1675 LEAHY ST STE 428B
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5500
Practice Address - Country:US
Practice Address - Phone:231-672-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704243821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily