Provider Demographics
NPI:1235328709
Name:LINDBECK, ROSE MARIE ANN (R N)
Entity Type:Individual
Prefix:MS
First Name:ROSE MARIE
Middle Name:ANN
Last Name:LINDBECK
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:ROSE MARY
Other - Middle Name:ANN
Other - Last Name:HERRERA-LINDBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:304 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-0907
Mailing Address - Country:US
Mailing Address - Phone:559-298-3689
Mailing Address - Fax:
Practice Address - Street 1:304 CHERRY LANE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0907
Practice Address - Country:US
Practice Address - Phone:559-298-3689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA359317163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse