Provider Demographics
NPI:1164859328
Name:LINDENMUTH, LINDA (PHD, CNC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:LINDENMUTH
Suffix:
Gender:F
Credentials:PHD, CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-2553
Mailing Address - Country:US
Mailing Address - Phone:775-322-4372
Mailing Address - Fax:
Practice Address - Street 1:1104 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-2553
Practice Address - Country:US
Practice Address - Phone:775-322-4372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist