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NPI Code Detail

MEDICARE: NICOLE LINDER

MEDICARE: NICOLE LINDER
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1598165946
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LINDER
Provider Business Mailing Address
First Line : 2886 433RD ST
Second Line :
City : HARRIS
State : MN
Zip : 55032-3421
Country : US
Telephone Number : 763-227-4539
Fax Number :
Provider Business Practice Location Address
First Line : 3901 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-2614
Country : US
Telephone Number : 612-462-3812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2014
Last Update Date : 09/03/2014

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Directions to “ NICOLE LINDER ” Practice Location

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