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Individual

MARIE ANNE LINGENFELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
661 MAHONING AVE NW, WARREN, OH 44483-4607
(330) 399-4243
Mailing address
661 MAHONING AVE NW, WARREN, OH 44483-4607
(330) 399-4243
(330) 399-8716

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
371196
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025612
OH
363LP0200X
Pediatric Nurse Practitioner
201914503
OH

Other

Enumeration date
08/19/2019
Last updated
10/04/2019
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