Provider Demographics
NPI:1942766365
Name:LINDIE, NELGA
Entity Type:Individual
Prefix:
First Name:NELGA
Middle Name:
Last Name:LINDIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9703 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3502
Mailing Address - Country:US
Mailing Address - Phone:301-875-3051
Mailing Address - Fax:
Practice Address - Street 1:1911 I ST NE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4146
Practice Address - Country:US
Practice Address - Phone:202-396-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide