Provider Demographics
NPI:1902797020
Name:BANE, LINDSEY MARIE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MARIE
Last Name:BANE
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:LINDSEYBANE22@GMAIL.COM
Mailing Address - Street 2:4119 ELDORADO WHITEWATER RD
Mailing Address - City:ELDORADO
Mailing Address - State:OH
Mailing Address - Zip Code:45321
Mailing Address - Country:US
Mailing Address - Phone:937-733-1235
Mailing Address - Fax:
Practice Address - Street 1:510 W WATER ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2981
Practice Address - Country:US
Practice Address - Phone:937-733-1235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0039560363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily