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NPI Code Detail

MEDICARE: LINDSEY ST CYR APN

MEDICARE: LINDSEY ST CYR APN
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
1363L00000XNurse Practitioner14407TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497084032
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY ST CYR APN
Provider Business Mailing Address
First Line : 313 N MAIN ST
Second Line : 2ND FLOOR
City : ASHLAND CITY
State : TN
Zip : 37015-1347
Country : US
Telephone Number : 731-792-1911
Fax Number : 731-792-0314
Provider Business Practice Location Address
First Line : 313 N MAIN ST
Second Line : 2ND FLOOR
City : ASHLAND CITY
State : TN
Zip : 37015-1347
Country : US
Telephone Number : 731-792-1911
Fax Number : 731-792-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2009
Last Update Date : 05/31/2016

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