MEDICARE: LINDSAY RYAN HEAD CNP

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	363LA2100X	Acute Care Nurse Practitioner	0030645	OH

General Provider Information

NPI Number	:	1982350351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY RYAN HEAD CNP

Provider Business Mailing Address
First Line	:	6788 GREENLEAF AVE
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3709
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 SUPERIOR AVE STE 1618
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2709
Country	:	US
Telephone Number	:	216-770-4691
Fax Number	:

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

Provider Enumeration Date	:	02/24/2022
Last Update Date	:	03/10/2026

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