Doctor Name: | MS. ANDREA CHELENE LINDHOUT |
NPI Number: | 1033566732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 4704178323 |
Business Practice Address: | 1727 West Bluewater Hwy Ionia, MI - 48846 |
Business Phone Number: | 6165272510 |
Business Fax Number: | 6165271175 |
Mailing Address: | 2710 South Shore Dr, CRYSTAL |
State: | MI |
Postal Code: | 48818 |
Phone Number: | 9892870414 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704178323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |