| Doctor Name: | MRS. LINDSEY MIRANDA STAGGERS-GARDNER |
| NPI Number: | 1841545506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, NP-C |
| License Number: | R201919 |
| Business Practice Address: | 101 Braddock Rd Frostburg, MD - 215322303 |
| Business Phone Number: | 3016874310 |
| Business Fax Number: | 3016877050 |
| Mailing Address: | 155 Willow Ave, KEYSER |
| State: | WV |
| Postal Code: | 267263019 |
| Phone Number: | 3047900616 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2012 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R201919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |