Provider Demographics
NPI:1194175182
Name:HERMSDORFER, LINDSAY RAE (FNP-C)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:RAE
Last Name:HERMSDORFER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:RAE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1015 E 32ND ST STE 203
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2700
Mailing Address - Country:US
Mailing Address - Phone:512-476-5437
Mailing Address - Fax:
Practice Address - Street 1:1015 E 32ND ST STE 203
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2700
Practice Address - Country:US
Practice Address - Phone:512-476-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily