Healthcare Provider Details

I. General information

NPI: 1750765780
Provider Name (Legal Business Name): LINDSI MARIA MCCRONE PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 WELLINGTON AVE STE F
WILMINGTON NC
28401-7704
US

IV. Provider business mailing address

1606 WELLINGTON AVE STE F
WILMINGTON NC
28401-7704
US

V. Phone/Fax

Practice location:
  • Phone: 910-392-5634
  • Fax: 910-392-5654
Mailing address:
  • Phone: 910-392-5634
  • Fax: 910-392-5654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5007786
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: