National Provider Identifier

Lindsay Nicole Glanville, PA

Lindsay Nicole Glanville, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 720-1550.

NPI 1851601744Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1851601744
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 14, 2010
Last Updated
October 20, 2021

Practice Location

  • 2440 Ridgeway Ave
  • Rochester, NY 14626-4145

Phone: (585) 720-1550

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1851601744
Entity Type
Individual
Last Name
Glanville
First Name
Lindsay
Middle Name
Nicole
Credential
PA
Provider Other Last Name
Driscoll
Provider Other First Name
Lindsay
Provider Other Middle Name
Nicole
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
2440 Ridgeway Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4145
Mailing Country
US
Mailing Phone
(585) 720-1550
Mailing Fax
(585) 720-1553
Practice Street Address
2440 Ridgeway Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4145
Practice Country
US
Practice Phone
(585) 720-1550
Practice Fax
(585) 720-1553
Enumeration Date
October 14, 2010
Last Updated
October 20, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)