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NPI Code Detail

MEDICARE: MS. LINDSEY J ELLER FNP-BC, MSN, RN

MEDICARE:  MS. LINDSEY J ELLER  FNP-BC, MSN, RN
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
1363LF0000XFamily Nurse Practitioner2024027429CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063795375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDSEY J ELLER FNP-BC, MSN, RN
Provider Business Mailing Address
First Line : 2430 RESEARCH PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1093
Country : US
Telephone Number : 719-445-6242
Fax Number : 719-445-6332
Provider Business Practice Location Address
First Line : 2430 RESEARCH PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1093
Country : US
Telephone Number : 719-445-6242
Fax Number : 719-445-6332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 01/13/2026

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