Provider Demographics
NPI:1255947768
Name:LINDNER, TAMERA LYNN
Entity type:Individual
Prefix:
First Name:TAMERA
Middle Name:LYNN
Last Name:LINDNER
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 1:392 FARMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8857
Mailing Address - Country:US
Mailing Address - Phone:614-284-4289
Mailing Address - Fax:
Practice Address - Street 1:392 FARMEADOW DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8857
Practice Address - Country:US
Practice Address - Phone:614-284-4289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2105313Medicaid