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NPI Code Detail

MEDICARE: MRS. PADMA JOTHI LINGA FNP-C

MEDICARE: MRS. PADMA JOTHI LINGA FNP-C
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
1363LF0000XFamily Nurse PractitionerF03210002MI
2364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist4704269302MI
3363L00000XNurse Practitioner4704269302MI
4363LP0808XPsychiatric/Mental Health Nurse Practitioner2023165398MI

General Provider Information

NPI Number : 1841885696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PADMA JOTHI LINGA FNP-C
Provider Business Mailing Address
First Line : 3201 HALLMARK CT
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2109
Country : US
Telephone Number : 989-790-5989
Fax Number :
Provider Business Practice Location Address
First Line : 1213 S WASHINGTON AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2510
Country : US
Telephone Number : 989-401-9015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 05/07/2026

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