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General NPI Number Information
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NPI Number | 1336063593
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Entity Type | Organization
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Legal Business Name | LINDSEY NIELSEN- ADVANCED REGISTERED NURSING PRACTITIONER, INC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 615 13TH ST STE B10
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City | MODESTO
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State | CA
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Zip | 95354-2456
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Country | US
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Telephone | 209-402-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 410 E ROCKINGHAM ST
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City | ELKTON
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State | VA
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Zip | 22827-1508
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Country | US
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Telephone | 209-402-4427
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | LINDSEY NIELSEN
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Credential | PMHNP
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Telephone | 209-200-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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