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NPI Code Detail

MEDICARE: MRS. LINDSEY MIRANDA STAGGERS-GARDNER DNP, RN, FNP-C

MEDICARE: MRS. LINDSEY MIRANDA STAGGERS-GARDNER DNP, RN, FNP-C
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
1163W00000XRegistered Nurse73984WV
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN73984WV
3363LF0000XFamily Nurse PractitionerR201919MD
4163W00000XRegistered NurseR201919MD

General Provider Information

NPI Number : 1841545506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY MIRANDA STAGGERS-GARDNER DNP, RN, FNP-C
Provider Business Mailing Address
First Line : 139 PLAZA DR
Second Line :
City : KEYSER
State : WV
Zip : 26726-6015
Country : US
Telephone Number : 304-597-3577
Fax Number : 304-597-3548
Provider Business Practice Location Address
First Line : 139 PLAZA DR
Second Line :
City : KEYSER
State : WV
Zip : 26726-6015
Country : US
Telephone Number : 304-597-3577
Fax Number : 304-597-3548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 04/13/2026

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