Healthcare Provider Details

I. General information

NPI: 1154751626
Provider Name (Legal Business Name): NATHAN LINDER CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3488 SELDOM SEEN RD
POWELL OH
43065-8405
US

IV. Provider business mailing address

3488 SELDOM SEEN RD
POWELL OH
43065-8405
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP200006386
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15378
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: