Provider Demographics
NPI:1841998200
Name:LINDEIRE, NATASHA (FNP -BC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:LINDEIRE
Suffix:
Gender:F
Credentials:FNP -BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54759 WINDINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-1543
Mailing Address - Country:US
Mailing Address - Phone:574-386-7749
Mailing Address - Fax:
Practice Address - Street 1:54759 WINDINGBROOK DR
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1543
Practice Address - Country:US
Practice Address - Phone:574-386-7749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2021039135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily