Provider Demographics
NPI:1063895563
Name:NORMAN, LYNDSAY D (ARNP)
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:D
Last Name:NORMAN
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:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-416-2250
Mailing Address - Fax:850-416-2536
Practice Address - Street 1:5153 N 9TH AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8785
Practice Address - Country:US
Practice Address - Phone:850-416-2250
Practice Address - Fax:850-416-2536
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9311985363L00000X
FLAPRN9311985363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner