Healthcare Provider Details

I. General information

NPI: 1598474314
Provider Name (Legal Business Name): LINDSAY LEE MORGAN APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY BUTTLES

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S HERITAGE WOODS DR
APPLETON WI
54915-1408
US

IV. Provider business mailing address

2600 S HERITAGE WOODS DR
APPLETON WI
54915-1408
US

V. Phone/Fax

Practice location:
  • Phone: 920-738-3000
  • Fax:
Mailing address:
  • Phone: 920-225-7875
  • Fax: 920-993-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13331
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13331-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: