Provider Demographics
NPI:1346948932
Name:MILLER, LINDSAY MICHELLE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:MICHELLE
Last Name:MILLER
Suffix:
Gender:
Credentials:MSN, APRN, FNP-C
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:MICHELLE
Other - Last Name:SCHUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2550 WINGATE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-7402
Mailing Address - Country:US
Mailing Address - Phone:321-369-9514
Mailing Address - Fax:
Practice Address - Street 1:2550 WINGATE BLVD
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-7402
Practice Address - Country:US
Practice Address - Phone:321-369-9514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024829363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1598205221OtherTYPE 2 NPI