Healthcare Provider Details

I. General information

NPI: 1215588868
Provider Name (Legal Business Name): LINDSEY DEPUTY RN, MS, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 EAST 31ST STREET HCP 5 SPECIALTY CLINICS - HEMATOLOGY ONCOLOGY
OAKLAND CA
94602
US

IV. Provider business mailing address

1411 EAST 31ST STREET HCP5 SPECIALTY CLINICS -HEMATOLOGY ONCOLOGY
OAKLAND CA
94602
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-4527
  • Fax:
Mailing address:
  • Phone: 510-437-4527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number4383
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number684330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: