MEDICARE: ANN MARIE LINDEN APN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ00659000	NJ

General Provider Information

NPI Number	:	1811435480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE LINDEN APN

Provider Business Mailing Address
First Line	:	259 NEW BRUNSWICK AVE STE 202
Second Line	:
City	:	FORDS
State	:	NJ
Zip	:	08863-2260
Country	:	US
Telephone Number	:	732-293-9883
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 NEW BRUNSWICK AVE STE 202
Second Line	:
City	:	FORDS
State	:	NJ
Zip	:	08863-2260
Country	:	US
Telephone Number	:	732-293-9883
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	01/23/2025

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