Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 26N004968600 | NJ |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 26N004968600 | NJ |
NPI | 1073612750 |
---|---|
Provider Name | Mrs. Marilyn J Lindenmuth |
First Address | Pilesgrove, NJ 08098-3001 |
Second Address | Glassboro, NJ 08028-1639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 04/10/2016 |