Provider Demographics
NPI:1104665975
Name:LINDSAY, ALICIA JOAN (CNA)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:JOAN
Last Name:LINDSAY
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:JOAN
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:41 SUOMI RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3640
Mailing Address - Country:US
Mailing Address - Phone:508-680-4638
Mailing Address - Fax:
Practice Address - Street 1:41 SUOMI RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3640
Practice Address - Country:US
Practice Address - Phone:508-680-4638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide