Healthcare Provider Details

I. General information

NPI: 1992977953
Provider Name (Legal Business Name): KAREN ANN L:INDSLEY RN,MSN,CDE,CCRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ANN LINDSLEY

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE
ATLANTA GA
30322-1060
US

IV. Provider business mailing address

2015 UPPERGATE DRIVE
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 770-757-0414
  • Fax:
Mailing address:
  • Phone: 404-727-1098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN133974
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: