Provider Demographics
NPI:1932882297
Name:ROSBY, LINDSAY SAMAREA
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:SAMAREA
Last Name:ROSBY
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 1:16 WESTFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-6945
Mailing Address - Country:US
Mailing Address - Phone:501-837-0468
Mailing Address - Fax:
Practice Address - Street 1:16 WESTFIELD CIR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-6945
Practice Address - Country:US
Practice Address - Phone:501-837-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125097163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care