Provider Demographics
NPI:1841502317
Name:DEEB, LINDSEY MICHELLE-PATEE (PNP)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MICHELLE-PATEE
Last Name:DEEB
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
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Mailing Address - Street 1:5975 CARMEN AVE
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-4416
Mailing Address - Country:US
Mailing Address - Phone:651-455-9697
Mailing Address - Fax:651-455-2012
Practice Address - Street 1:5975 CARMEN AVE
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-4416
Practice Address - Country:US
Practice Address - Phone:651-455-9697
Practice Address - Fax:651-455-2012
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR 169355-5363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics