Provider Demographics
NPI:1871078113
Name:STAHLMAN, LINDSAY V (NP-C)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:V
Last Name:STAHLMAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BROOKS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1848
Mailing Address - Country:US
Mailing Address - Phone:304-388-1930
Mailing Address - Fax:304-388-1929
Practice Address - Street 1:210 BROOKS ST STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1848
Practice Address - Country:US
Practice Address - Phone:304-388-1930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN91501-NP-C363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily