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NPI Code Detail

MEDICARE: LINDSEY JO FENSTERMAKER RN, BSN, CCRN

MEDICARE:   LINDSEY JO FENSTERMAKER  RN, BSN, CCRN
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
1163W00000XRegistered NurseRN00166011WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1599245OTHERWAPAYEE NUMBER

General Provider Information

NPI Number : 1861815599
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY JO FENSTERMAKER RN, BSN, CCRN
Provider Business Mailing Address
First Line : 10909 246TH ST NE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-8108
Country : US
Telephone Number : 425-870-9923
Fax Number :
Provider Business Practice Location Address
First Line : 10909 246TH ST NE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-8108
Country : US
Telephone Number : 425-870-9923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2014
Last Update Date : 01/31/2014

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