MEDICARE: MARJORIE ANNE LINDEMANN 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
1	363LF0000X	Family Nurse Practitioner	86639-30	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871678367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE ANNE LINDEMANN NP

Provider Business Mailing Address
First Line	:	501 W CENTRAL ENTRANCE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55811-5447
Country	:	US
Telephone Number	:	888-852-1988
Fax Number	:	999-999-9999

Provider Business Practice Location Address
First Line	:	501 W CENTRAL ENTRANCE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55811-5447
Country	:	US
Telephone Number	:	888-852-1988
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	01/12/2026

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