MEDICARE: LINDSEY GARRONE RNFA

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	163WR0006X	Registered Nurse First Assistant	482087	OH

General Provider Information

NPI Number	:	1366143745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY GARRONE RNFA

Provider Business Mailing Address
First Line	:	4969 HIDDEN VIEW CT
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9354
Country	:	US
Telephone Number	:	314-243-9722
Fax Number	:

Provider Business Practice Location Address
First Line	:	4969 HIDDEN VIEW CT
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9354
Country	:	US
Telephone Number	:	314-243-9722
Fax Number	:

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

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	09/29/2023

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