Healthcare Provider Details
I. General information
NPI: 1720626690
Provider Name (Legal Business Name): LINDSAY ASHLEY THOMAS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/11/2019
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12 ST PAUL DR
CHAMBERSBURG PA
17201-1035
US
IV. Provider business mailing address
785 5TH AVE STE 3
CHAMBERSBURG PA
17201-4232
US
V. Phone/Fax
- Phone: 717-217-6882
- Fax: 717-217-6883
- Phone: 717-263-9555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | MW010585 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | 936053 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: