Provider Demographics
NPI:1558796052
Name:LINDERMAN, ANNE STUART (RN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:STUART
Last Name:LINDERMAN
Suffix:
Gender:F
Credentials:RN, WHNP-BC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:STUART
Other - Last Name:MACDOUGALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1800 HARRISON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3466
Mailing Address - Country:US
Mailing Address - Phone:510-625-4101
Mailing Address - Fax:
Practice Address - Street 1:601 W 115TH ST APT 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7703
Practice Address - Country:US
Practice Address - Phone:206-819-9615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2288572163W00000X, 363LW0102X
NY22 701501163W00000X
NYF421277363LW0102X
390200000X
CA95012065363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MARN2288572OtherCNP
MARN2288572OtherREGISTERED NURSE
NY22 701501OtherREGISTERED NURSE