Healthcare Provider Details

I. General information

NPI: 1962409276
Provider Name (Legal Business Name): CLAIRE E LINDBERG PHD, RN, APRN, BC,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 WASHINGTON HWY
MORRISVILLE VT
05661-8652
US

IV. Provider business mailing address

609 WASHINGTON HWY
MORRISVILLE VT
05661-8652
US

V. Phone/Fax

Practice location:
  • Phone: 802-888-5639
  • Fax: 802-888-6040
Mailing address:
  • Phone: 609-395-0538
  • Fax: 609-637-6159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NN04284900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: