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NPI Code Detail

MEDICARE: LINDSAY RUSSELL APN

MEDICARE: LINDSAY RUSSELL APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner71006647AIN

General Provider Information

NPI Number : 1033660188
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY RUSSELL APN
Provider Business Mailing Address
First Line : 1311 W 96TH ST STE 110
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1172
Country : US
Telephone Number : 317-876-3699
Fax Number :
Provider Business Practice Location Address
First Line : 1311 W 96TH ST STE 110
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1172
Country : US
Telephone Number : 317-876-3699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 04/08/2025

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