Provider Demographics
NPI:1205345642
Name:BINGNEAR, LYNDSAY MICHELLE (MSN, APRN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:LYNDSAY
Middle Name:MICHELLE
Last Name:BINGNEAR
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:
Other - First Name:LYNDSAY
Other - Middle Name:MICHELLE
Other - Last Name:MACONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 ELM DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-3069
Mailing Address - Country:US
Mailing Address - Phone:302-420-6056
Mailing Address - Fax:
Practice Address - Street 1:4 ELM DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-3069
Practice Address - Country:US
Practice Address - Phone:302-420-6056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily