Provider Demographics
NPI:1861895005
Name:GILLETTE, LINDSAY (FNP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:GILLETTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:MCQUADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:6165 RIDGEVIEW CT STE A&E
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-6330
Mailing Address - Country:US
Mailing Address - Phone:775-525-5624
Mailing Address - Fax:
Practice Address - Street 1:6165 RIDGEVIEW CT STE A&E
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-6330
Practice Address - Country:US
Practice Address - Phone:775-525-5624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV866891363LF0000X
WA60775669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily