Healthcare Provider Details

I. General information

NPI: 1366329948
Provider Name (Legal Business Name): LYNDSEY THORNSBERRY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HEALTH DR
CHILLICOTHEE OH
45601-8604
US

IV. Provider business mailing address

400 BEVERLY AVE
WAVERLY OH
45690-1542
US

V. Phone/Fax

Practice location:
  • Phone: 740-970-0324
  • Fax: 740-237-3516
Mailing address:
  • Phone: 740-970-0324
  • Fax: 740-237-3516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.527342
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: