Provider Demographics
NPI:1568200137
Name:BICKEL, LYNDSEY JO (RN)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:JO
Last Name:BICKEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 NW 50TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3554
Mailing Address - Country:US
Mailing Address - Phone:303-518-0243
Mailing Address - Fax:
Practice Address - Street 1:635 NW 50TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3554
Practice Address - Country:US
Practice Address - Phone:303-518-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANO363LS0200X
WARN60924183163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool