Basic Information
Provider Information
NPI: 1386895167
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINGREN
FirstName: NATALINE
MiddleName: S
NamePrefix: MRS.
NameSuffix:  
Credential: CPNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 BURNET AVE ML 2008
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136367966
FaxNumber: 5136367967
Practice Location
Address1: 3333 BURNET AVE ML 2008
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452293026
CountryCode: US
TelephoneNumber: 5136367966
FaxNumber: 5136367967
Other Information
ProviderEnumerationDate: 10/09/2008
LastUpdateDate: 07/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN.CNP.13330OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LP0200X652909TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
363LP0200XAP60164886WAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
363LP0200XCOA.13330-NPOHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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