Healthcare Provider Details

I. General information

NPI: 1508244724
Provider Name (Legal Business Name): LINDSAY AUGENTHALER CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE MB.7.520
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

155 E 34TH ST APT 10R
NEW YORK NY
10016-4752
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-5223
  • Fax:
Mailing address:
  • Phone: 516-993-0172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberN360564444
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF382467-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: