Provider Demographics
NPI:1942636006
Name:LINDEMAN, AMY MARIA (MEDICAL ASSIST)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIA
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:MEDICAL ASSIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9073 SHIPYARD LN
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-9597
Mailing Address - Country:US
Mailing Address - Phone:360-332-1995
Mailing Address - Fax:
Practice Address - Street 1:9073 SHIPYARD LN
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-9597
Practice Address - Country:US
Practice Address - Phone:360-332-1995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA776887374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide