Provider Demographics
NPI:1558538801
Name:JOSEPH, LINDIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDIA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4037
Mailing Address - Country:US
Mailing Address - Phone:617-283-6104
Mailing Address - Fax:781-535-5399
Practice Address - Street 1:2 MARDEN AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-4037
Practice Address - Country:US
Practice Address - Phone:617-283-6104
Practice Address - Fax:781-535-5399
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA184320163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse