Healthcare Provider Details

I. General information

NPI: 1497990295
Provider Name (Legal Business Name): LINDSEY DALE HOBSON AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2008
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 REID PKWY STE 240 REID CARDIOTHORACIC SURGEONS
RICHMOND IN
47374-1157
US

IV. Provider business mailing address

1100 REID PKWY MEDICAL STAFF SERVICES
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 765-983-3427
  • Fax: 765-935-8739
Mailing address:
  • Phone: 765-983-3127
  • Fax: 765-983-3219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71004797A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004797A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: