Individual
MS. LYNDA S. BICKERSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNS, CWOCN
Contact information
Practice address
2402 W PIERCE ST, SUITE 5A, CARLSBAD, NM 88220-3537
(575) 887-5321
(575) 887-5336
Mailing address
2430 W PIERCE ST, STE 5A, CARLSBAD, NM 88220
(575) 628-0926
(575) 628-0493
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R13772
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05128358
—
NM
01
—
NM06D32
BCBS
NM
Enumeration date
07/19/2006
Last updated
05/14/2010
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