Provider Demographics
NPI:1821360942
Name:LALINDE, MICHELLE MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MARIE
Last Name:LALINDE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 E HARVARD AVE STE 255
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5032
Mailing Address - Country:US
Mailing Address - Phone:303-996-7555
Mailing Address - Fax:303-996-7556
Practice Address - Street 1:850 E HARVARD AVE STE 255
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5032
Practice Address - Country:US
Practice Address - Phone:303-996-7555
Practice Address - Fax:303-996-7556
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY629938163W00000X
NY337103363LF0000X
COAPN.0991466-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily