Provider Demographics
NPI:1538283643
Name:LINDBERG, JENNIFER E (CRNA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:LINDBERG
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 V ST STE 1200
Mailing Address - Street 2:ANESTHESIOLOGY & PAIN MEDICINE, UCDMC
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-7985
Mailing Address - Fax:916-734-2975
Practice Address - Street 1:4150 V ST STE 1200
Practice Address - Street 2:ANESTHESIOLOGY & PAIN MEDICINE, UCDMC
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-7985
Practice Address - Fax:916-734-2975
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA03471207L00000X
CARN534147207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA010312OtherPHYSICIAN INDEX # (UCDMC)