Provider Demographics
NPI:1952758385
Name:NEISS, LINDSEY (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:NEISS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 MANOR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4215
Mailing Address - Country:US
Mailing Address - Phone:717-299-4644
Mailing Address - Fax:717-390-2916
Practice Address - Street 1:2113 MANOR RIDGE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4215
Practice Address - Country:US
Practice Address - Phone:717-299-4644
Practice Address - Fax:717-390-2916
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016369363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily