Provider Demographics
NPI:1871303420
Name:LINDSEY, MICAH
Entity type:Individual
Prefix:
First Name:MICAH
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 CORDOBA LN APT D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2126
Mailing Address - Country:US
Mailing Address - Phone:023-578-3177
Mailing Address - Fax:702-357-8317
Practice Address - Street 1:1621 CORDOBA LN APT D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2126
Practice Address - Country:US
Practice Address - Phone:023-578-3177
Practice Address - Fax:702-357-8317
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant