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NPI Code Detail

MEDICARE: MR. WILLIAM EDWARD LINDLEY JR. CRNP FNP-C

MEDICARE:  MR. WILLIAM EDWARD LINDLEY JR. CRNP FNP-C
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
1363LF0000XFamily Nurse Practitioner1-148966AL

General Provider Information

NPI Number : 1275061632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM EDWARD LINDLEY JR. CRNP FNP-C
Provider Business Mailing Address
First Line : 1927 KERI HILL CIR
Second Line :
City : AUBURN
State : AL
Zip : 36830-0602
Country : US
Telephone Number : 706-405-5881
Fax Number :
Provider Business Practice Location Address
First Line : 3700 S RAILROAD ST STE A
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-2994
Country : US
Telephone Number : 334-664-0463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 05/30/2017

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Directions to “ MR. WILLIAM EDWARD LINDLEY JR. CRNP FNP-C” Practice Location

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