Provider Demographics
NPI:1114220910
Name:MARTIN, LINDSEY CHRISTINE (RN, BC)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:CHRISTINE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RN, BC
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:MARTIN
Other - Last Name:RUBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2600 MARBLE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2058
Mailing Address - Country:US
Mailing Address - Phone:505-272-2853
Mailing Address - Fax:505-272-4124
Practice Address - Street 1:2600 MARBLE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2058
Practice Address - Country:US
Practice Address - Phone:505-272-2853
Practice Address - Fax:505-272-4124
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR61305163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult