Healthcare Provider Details

I. General information

NPI: 1093189003
Provider Name (Legal Business Name): LINDSAY LYNN BURKEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2015
Last Update Date: 11/29/2020
Certification Date: 11/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3722 DRESSLER RD NW
CANTON OH
44718-2700
US

IV. Provider business mailing address

3722 DRESSLER RD NW
CANTON OH
44718-2700
US

V. Phone/Fax

Practice location:
  • Phone: 330-479-9000
  • Fax: 330-477-5805
Mailing address:
  • Phone: 330-479-9000
  • Fax: 330-477-5805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.353122-1
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.18315-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: