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NPI Code Detail

MEDICARE: REGINA SUE VANDERLINDEN

MEDICARE: REGINA SUE VANDERLINDEN
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
1367500000XCertified Registered Nurse Anesthetist1168653TX
2367500000XCertified Registered Nurse Anesthetist149314WI

General Provider Information

NPI Number : 1902647621
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA SUE VANDERLINDEN
Provider Business Mailing Address
First Line : 1733 S ARCH ST
Second Line :
City : JANESVILLE
State : WI
Zip : 53546-5775
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6225 N STATE HIGHWAY 161 STE 200
Second Line :
City : IRVING
State : TX
Zip : 75038-2241
Country : US
Telephone Number : 214-687-0001
Fax Number : 975-518-2100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2024
Last Update Date : 03/03/2026

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Directions to “ REGINA SUE VANDERLINDEN ” Practice Location

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