Healthcare Provider Details

I. General information

NPI: 1699149716
Provider Name (Legal Business Name): LINDSEY W SUNDEEN CNM/WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY W KYTE CNM/WHNP

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 WEST GORDON ST. SUITE A
THOMASTON GA
30286
US

IV. Provider business mailing address

917 WEST GORDON ST. SUITE A
THOMASTON GA
30286
US

V. Phone/Fax

Practice location:
  • Phone: 706-647-9627
  • Fax: 706-647-9651
Mailing address:
  • Phone: 706-647-9627
  • Fax: 706-647-9651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN215187
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: