Healthcare Provider Details

I. General information

NPI: 1629906110
Provider Name (Legal Business Name): MARIA LINDLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 28037 MEDDAC BAVARIA
APO AE
09112-8037
US

IV. Provider business mailing address

UNIT 28307 MEDDAC-B BUILDING 700, ROOM 109
APO AE
09112-8037
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-1768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number770615
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: