Provider Demographics
NPI:1871877316
Name:SHEDEK, LINDSAY RAE (ARNP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RAE
Last Name:SHEDEK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S CLINTON ST
Mailing Address - Street 2:SUITE 195
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4034
Mailing Address - Country:US
Mailing Address - Phone:319-384-0520
Mailing Address - Fax:
Practice Address - Street 1:201 S CLINTON ST
Practice Address - Street 2:SUITE 195
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4034
Practice Address - Country:US
Practice Address - Phone:319-384-0520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH-119806363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health