Healthcare Provider Details

I. General information

NPI: 1841545506
Provider Name (Legal Business Name): LINDSEY MIRANDA STAGGERS-GARDNER DNP, RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 PLAZA DR
KEYSER WV
26726-6015
US

IV. Provider business mailing address

139 PLAZA DR
KEYSER WV
26726-6015
US

V. Phone/Fax

Practice location:
  • Phone: 304-597-3577
  • Fax: 304-597-3548
Mailing address:
  • Phone: 304-597-3577
  • Fax: 304-597-3548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR201919
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN73984
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number73984
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR201919
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: