Provider Demographics
NPI:1871370015
Name:ENTREKIN, LINDSAY (FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:ENTREKIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1799
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-1799
Mailing Address - Country:US
Mailing Address - Phone:850-267-1337
Mailing Address - Fax:850-267-1378
Practice Address - Street 1:5551 US HIGHWAY 98 W
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-3566
Practice Address - Country:US
Practice Address - Phone:850-267-1337
Practice Address - Fax:850-267-1378
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily