Provider Demographics
NPI:1912317231
Name:MOELLER, LINDSEY (MS, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:MOELLER
Suffix:
Gender:F
Credentials:MS, AGACNP-BC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:MCCONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:800 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1613
Mailing Address - Country:US
Mailing Address - Phone:419-678-2341
Mailing Address - Fax:419-678-5996
Practice Address - Street 1:830 W MAIN ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1657
Practice Address - Country:US
Practice Address - Phone:419-678-2341
Practice Address - Fax:419-678-5996
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15965363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care