MEDICARE: MRS. LINDSEY L MOCHEL FNP-C

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
1	363LF0000X	Family Nurse Practitioner	AP131859	TX
2	363LP2300X	Primary Care Nurse Practitioner	C-APN-0000867-C-NP	CO

General Provider Information

NPI Number	:	1245780949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSEY L MOCHEL FNP-C

Provider Business Mailing Address
First Line	:	1526 COLE BLVD STE 300
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3410
Country	:	US
Telephone Number	:	303-379-9371
Fax Number	:	303-284-4082

Provider Business Practice Location Address
First Line	:	1526 COLE BLVD STE 300
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80401-3410
Country	:	US
Telephone Number	:	303-379-9371
Fax Number	:	303-284-4082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	09/14/2018

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