Provider Demographics
NPI:1104464601
Name:ATHANS, LINDSAY FERRANTE
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:FERRANTE
Last Name:ATHANS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:FERRANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:21 READE PL STE 2100
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3968
Mailing Address - Country:US
Mailing Address - Phone:845-214-1840
Mailing Address - Fax:
Practice Address - Street 1:21 READE PL STE 2100
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3968
Practice Address - Country:US
Practice Address - Phone:845-214-1840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-15
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344693363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily