Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 710036006A | IN |
NPI | 1124251160 |
---|---|
Provider Name | Lindsay T Anderson |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 27/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201100260 | (05) | IN |