Basic Information
Provider Information
NPI: 1891034666
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOWNSEND
FirstName: LINDSAY
MiddleName: MICHAL
NamePrefix: MRS.
NameSuffix:  
Credential: APN, CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 W RAVINE RD
Address2:  
City: KINGSPORT
State: TN
PostalCode: 376603837
CountryCode: US
TelephoneNumber: 4232244000
FaxNumber:  
Practice Location
Address1: 130 W RAVINE RD
Address2:  
City: KINGSPORT
State: TN
PostalCode: 376603837
CountryCode: US
TelephoneNumber: 4232244000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2013
LastUpdateDate: 02/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X17308TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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