Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R-095863-1 | MN |
NPI | 1003988650 |
---|---|
Provider Name | Cheryl Ann Lindgren |
First Address | Arlington, MN 55307-2127 |
Second Address | Arlington, MN 55307-2127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 12/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
939612800 | (05) | MN |
Q31809 | (02) | MN |