Provider Demographics
NPI:1972747269
Name:CHENEY, LINDSAY ANN (APRN)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:CHENEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1690
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:UT
Mailing Address - Zip Code:84713-1690
Mailing Address - Country:US
Mailing Address - Phone:435-438-7280
Mailing Address - Fax:435-438-7210
Practice Address - Street 1:1059 N 100 W
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:UT
Practice Address - Zip Code:84713-1690
Practice Address - Country:US
Practice Address - Phone:435-438-7280
Practice Address - Fax:435-438-7210
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4910404-4405363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT4910404-4408OtherSTATE LICENSE