Doctor Name: | LINDSAY CARTER CONWAY |
NPI Number: | 1861739757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | APN.0990561-NP |
Business Practice Address: | 549 Mountain Ave Berthoud, CO - 80513 |
Business Phone Number: | 9705324644 |
Business Fax Number: | 9705320608 |
Mailing Address: | Po Box 507, BERTHOUD |
State: | CO |
Postal Code: | 805130507 |
Phone Number: | 9705324644 |
Fax Number: | 9705320608 |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN.0990561-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |