Individual
MRS. MAYRA LINDBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-4145
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-4145
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28214704C
IN
363LN0000X
Neonatal Nurse Practitioner
71013105A
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
71013105A
IN
Other
Enumeration date
04/07/2022
Last updated
05/17/2024
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