Provider Demographics
NPI:1679333421
Name:KLINGES, LINDSEY (CRNP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KLINGES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 APPLE TREE RD
Mailing Address - Street 2:
Mailing Address - City:HARDING
Mailing Address - State:PA
Mailing Address - Zip Code:18643-7036
Mailing Address - Country:US
Mailing Address - Phone:570-991-0418
Mailing Address - Fax:
Practice Address - Street 1:490 NORTHAMPTON ST STE 1
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18704-4551
Practice Address - Country:US
Practice Address - Phone:570-288-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029490363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner