MEDICARE: FEDNA LINDOR AGACNP-BC

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
1	363LA2100X	Acute Care Nurse Practitioner	APRN11046770	FL

General Provider Information

NPI Number	:	1679454516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEDNA LINDOR AGACNP-BC

Provider Business Mailing Address
First Line	:	4353 WOODSTOCK DR APT A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12794 FORSET HILL
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414
Country	:	US
Telephone Number	:	786-771-9055
Fax Number	:	786-771-9055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	04/27/2026

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