Provider Demographics
NPI:1558250829
Name:WALSH, LINDSEY MARIE WALSH
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MARIE WALSH
Last Name:WALSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 MOUNT HOPE RD
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-9477
Mailing Address - Country:US
Mailing Address - Phone:984-275-5828
Mailing Address - Fax:984-275-5828
Practice Address - Street 1:3626 MOUNT HOPE RD
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-9477
Practice Address - Country:US
Practice Address - Phone:984-275-5828
Practice Address - Fax:984-275-5828
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN616545163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse