Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 26NJ00302500 | NJ |
NPI | 1013225895 |
---|---|
Provider Name | Linda B Mesinger |
First Address | Lumberton, NJ 08048-2919 |
Second Address | Lumberton, NJ 08048-2919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2010 |
Last Update Date | 15/09/2010 |