NPI Code Details Logo

NPI 1538796164

NPI 1538796164 : LINDSAY MARIE MASSEY CNP : WEINER, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1538796164
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LINDSAY MARIE MASSEY CNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2020
-----------------------------------------------------
    Last Update Date     |    02/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    106 N VAN BUREN ST 
-----------------------------------------------------
    City                 |    WEINER
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72479-9289
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    870-605-0014
-----------------------------------------------------
    Fax                  |    501-468-0472
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4196 HIGHWAY 62 412 STE A 
-----------------------------------------------------
    City                 |    HARDY
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72542-8002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    123649
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.