Basic Information
Provider Information
NPI: 1063820082
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLINDWEIN
FirstName: MARIKA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4575 PALM AVE APT G
Address2:  
City: RIVERSIDE
State: CA
PostalCode: 925013966
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 820 E GILBERT ST
Address2:  
City: SAN BERNARDINO
State: CA
PostalCode: 924150928
CountryCode: US
TelephoneNumber: 9093877200
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/23/2014
LastUpdateDate: 01/27/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X677952CAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home