Provider Demographics
NPI:1972755460
Name:CHRISTIAN, LINDY RENAE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:RENAE
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LINDY
Other - Middle Name:R
Other - Last Name:HAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:4601 WHITESBURG DR S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1676
Mailing Address - Country:US
Mailing Address - Phone:256-882-7888
Mailing Address - Fax:256-882-7886
Practice Address - Street 1:4601 WHITESBURG DR S
Practice Address - Street 2:SUITE 101
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1676
Practice Address - Country:US
Practice Address - Phone:256-882-7888
Practice Address - Fax:256-882-7886
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-079472363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-98887OtherBLUE CROSS BLUE SHIELD
AL111813Medicaid
AL111813Medicaid