Provider Demographics
NPI:1780983445
Name:HARE, LINDSAY A (NP-C)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:HARE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2680 S VAL VISTA DR STE 131
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-2155
Mailing Address - Country:US
Mailing Address - Phone:480-757-9713
Mailing Address - Fax:480-916-9158
Practice Address - Street 1:2680 S VAL VISTA DR STE 131
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2155
Practice Address - Country:US
Practice Address - Phone:480-757-9713
Practice Address - Fax:480-916-9158
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011003656363LF0000X
KS53-75664-052363LF0000X
AZ278172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily