Healthcare Provider Details

I. General information

NPI: 1518580836
Provider Name (Legal Business Name): LINDSAY ELIZABETH VEGEZZI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2020
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3499 S LINDEN RD STE 2
FLINT MI
48507-3022
US

IV. Provider business mailing address

843 LUDLOW AVE APT 201
ROCHESTER HILLS MI
48307-1350
US

V. Phone/Fax

Practice location:
  • Phone: 248-336-4000
  • Fax: 248-581-8839
Mailing address:
  • Phone: 248-558-9154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15728
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704355427
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704355427
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: