MEDICARE: LINDSAY HUFFMAN AGACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	0003079-C-NP	CO
2	363LG0600X	Gerontology Nurse Practitioner	1195292	TX

General Provider Information

NPI Number	:	1134892383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY HUFFMAN AGACNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 911242
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1242
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-2987

Provider Business Practice Location Address
First Line	:	7777 FOREST LN BLDG D
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2571
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-2987

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2021
Last Update Date	:	04/16/2026

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