Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 2008000923 | MN |
N | 363LG0600X | Nurse Practitioner - Gerontology | 2008004394 | MN |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2012006859 | MN |
NPI | 1033364245 |
---|---|
Provider Name | Dr. Tami Dawn Lindell |
First Address | Bemidji, MN 56601-8301 |
Second Address | Bemidji, MN 56601-4002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 03/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033364245 | (05) | MN |