Provider Demographics
NPI:1033994835
Name:LIND, ANDREA (CLD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:LIND
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1571 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36067-7074
Mailing Address - Country:US
Mailing Address - Phone:319-504-3931
Mailing Address - Fax:
Practice Address - Street 1:1571 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36067-7074
Practice Address - Country:US
Practice Address - Phone:319-504-3931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula