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NPI Code Detail

MEDICARE: ALISHA VAN DER LINDEN NP

MEDICARE: ALISHA VAN DER LINDEN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner95016670CA

General Provider Information

NPI Number : 1144962358
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA VAN DER LINDEN NP
Provider Business Mailing Address
First Line : 1086 S FAIRFAX AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-4401
Country : US
Telephone Number : 424-258-0124
Fax Number :
Provider Business Practice Location Address
First Line : 1086 S FAIRFAX AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-4401
Country : US
Telephone Number : 424-258-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 04/08/2022

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