Provider Demographics
NPI:1316710809
Name:MOLENKAMP, LYNDSEY ERIN (FNP)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:ERIN
Last Name:MOLENKAMP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 E PECOS RD STE 215
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-3202
Mailing Address - Country:US
Mailing Address - Phone:480-448-2411
Mailing Address - Fax:480-476-8718
Practice Address - Street 1:1760 E PECOS RD STE 215
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-3202
Practice Address - Country:US
Practice Address - Phone:480-448-2411
Practice Address - Fax:480-476-8718
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ299532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily