Provider Demographics
NPI:1073398160
Name:WOGEN, LINDSAY (FNP, RN)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:WOGEN
Suffix:
Gender:
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4877 YOUNG GULCH WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-2902
Mailing Address - Country:US
Mailing Address - Phone:630-346-6267
Mailing Address - Fax:
Practice Address - Street 1:5990 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80121-2866
Practice Address - Country:US
Practice Address - Phone:800-275-8777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0999301363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner