Provider Demographics
NPI:1841001716
Name:NEBEL, LINDSEY BROOKE
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:BROOKE
Last Name:NEBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6198 WILLOW PL
Mailing Address - Street 2:
Mailing Address - City:BEALETON
Mailing Address - State:VA
Mailing Address - Zip Code:22712-6740
Mailing Address - Country:US
Mailing Address - Phone:785-615-8048
Mailing Address - Fax:
Practice Address - Street 1:14935 HOLLY KNOLL LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4899
Practice Address - Country:US
Practice Address - Phone:703-743-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0131002957224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant