| Doctor Name: | LINDA LINDBERG |
| NPI Number: | 1023242674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP3168 |
| Business Practice Address: | 641 W Warner Rd Gilbert, AZ - 852337266 |
| Business Phone Number: | 4807229828 |
| Business Fax Number: | 4807229831 |
| Mailing Address: | 280 1st St, HOLLOMAN AFB |
| State: | NM |
| Postal Code: | 883308273 |
| Phone Number: | 5755722778 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2009 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |