Individual
THERESA E LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5680 W CHANDLER BLVD STE 3, CHANDLER, AZ 85226-3342
(480) 776-0440
(480) 776-0444
Mailing address
5680 W CHANDLER BLVD STE 3, CHANDLER, AZ 85226-3342
(480) 776-0440
(480) 776-0444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2295
AZ
363LP0200X
Pediatric Nurse Practitioner
2295
AZ
Other
Enumeration date
06/08/2005
Last updated
01/29/2020
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