Provider Demographics
NPI:1497257299
Name:LINDNER, MICHELLE MARJORIE-MARIE
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARJORIE-MARIE
Last Name:LINDNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 W BITTERS RD APT 722
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1374
Mailing Address - Country:US
Mailing Address - Phone:210-685-2173
Mailing Address - Fax:
Practice Address - Street 1:1440 W BITTERS RD APT 722
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1374
Practice Address - Country:US
Practice Address - Phone:210-685-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX319008164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse