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NPI Code Detail

MEDICARE: ANGELA MARIE LINDBLOOM CNS

MEDICARE:   ANGELA MARIE LINDBLOOM  CNS
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
1364SA2200XAdult Health Clinical Nurse Specialist2013020031MI

General Provider Information

NPI Number : 1932884699
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE LINDBLOOM CNS
Provider Business Mailing Address
First Line : 27502 BERKSHIRE HILLS PL
Second Line :
City : VALENCIA
State : CA
Zip : 91354-1829
Country : US
Telephone Number : 734-612-7993
Fax Number :
Provider Business Practice Location Address
First Line : 27502 BERKSHIRE HILLS PL
Second Line :
City : VALENCIA
State : CA
Zip : 91354-1829
Country : US
Telephone Number : 734-612-7993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 06/20/2023

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Directions to “ ANGELA MARIE LINDBLOOM CNS” Practice Location

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