Healthcare Provider Details

I. General information

NPI: 1457766214
Provider Name (Legal Business Name): LINDSEY ALAINA MANN-BADYRKA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 GREEN ACRES RD STE 101
FORT WALTON BEACH FL
32547-1170
US

IV. Provider business mailing address

319 GREEN ACRES RD STE 101
FORT WALTON BEACH FL
32547-1170
US

V. Phone/Fax

Practice location:
  • Phone: 850-243-7681
  • Fax: 850-243-0471
Mailing address:
  • Phone: 850-243-7681
  • Fax: 850-243-0471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9377307
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: