MEDICARE: LINDSAY NICHOLE NAGUS 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
1	363LF0000X	Family Nurse Practitioner	5022950	NC
2	363LP2300X	Primary Care Nurse Practitioner	209.013200	IL

General Provider Information

NPI Number	:	1992177612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY NICHOLE NAGUS APN

Provider Business Mailing Address
First Line	:	4225 MACON POND RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6386
Country	:	US
Telephone Number	:	919-791-2040
Fax Number	:	919-791-2041

Provider Business Practice Location Address
First Line	:	4225 MACON POND RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6385
Country	:	US
Telephone Number	:	919-791-2040
Fax Number	:	919-791-2041

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

Provider Enumeration Date	:	10/21/2015
Last Update Date	:	04/14/2026

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