Provider Demographics
NPI:1447658026
Name:TANN, LINDSEY R (APRN-CNP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:R
Last Name:TANN
Suffix:
Gender:F
Credentials:APRN-CNP
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Mailing Address - Street 1:2939 KENNY RD 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2406
Mailing Address - Country:US
Mailing Address - Phone:614-442-2431
Mailing Address - Fax:440-442-2426
Practice Address - Street 1:445 ROCKY FORK BLVD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3336
Practice Address - Country:US
Practice Address - Phone:614-383-7660
Practice Address - Fax:614-383-7665
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2022-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.16023363L00000X
OHCOA.16023-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner