Healthcare Provider Details

I. General information

NPI: 1093524258
Provider Name (Legal Business Name): LEVENA ELISE LINDERHOLM PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39407 VISTA DEL SOL
RANCHO MIRAGE CA
92270-3283
US

IV. Provider business mailing address

68135 TORTUGA RD
CATHEDRAL CITY CA
92234-3695
US

V. Phone/Fax

Practice location:
  • Phone: 760-442-6700
  • Fax:
Mailing address:
  • Phone: 805-757-0217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: