Healthcare Provider Details

I. General information

NPI: 1093009094
Provider Name (Legal Business Name): LINDSAY ANNE DAUPHINEE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 FRONT ST
ELMER NJ
08318-2101
US

IV. Provider business mailing address

708 STATION AVE
HADDON HEIGHTS NJ
08035-1647
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-2229
  • Fax:
Mailing address:
  • Phone: 856-358-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLK-0000160
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: