Provider Demographics
NPI:1528742897
Name:HENLINE, LINDSAY DANIELLE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:DANIELLE
Last Name:HENLINE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8423 MARKET ST STE 207
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6778
Mailing Address - Country:US
Mailing Address - Phone:330-965-5490
Mailing Address - Fax:330-965-5491
Practice Address - Street 1:8423 MARKET ST STE 207
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6778
Practice Address - Country:US
Practice Address - Phone:330-965-5490
Practice Address - Fax:330-965-5491
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034088363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily