Provider Demographics
NPI:1831873058
Name:FLANAGAN, LINDSEY MADISON (APRN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MADISON
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 HARRIS PIKE
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-7777
Mailing Address - Country:US
Mailing Address - Phone:859-409-4838
Mailing Address - Fax:
Practice Address - Street 1:3301 MERCY HEALTH BLVD STE 525
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1118
Practice Address - Country:US
Practice Address - Phone:513-841-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018425363LA2100X
OH0033948363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care