Provider Demographics
NPI:1104235209
Name:SCRIBNER, LINDSEY (CHHA, CNA, LTC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SCRIBNER
Suffix:
Gender:F
Credentials:CHHA, CNA, LTC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHHA, CNA, LTC
Mailing Address - Street 1:7605 S HOLLOW SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:COLEMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73432-8660
Mailing Address - Country:US
Mailing Address - Phone:580-224-7849
Mailing Address - Fax:
Practice Address - Street 1:315 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-4824
Practice Address - Country:US
Practice Address - Phone:580-371-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide