Individual
MARY P LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
129 W LAKE MEAD PKWY, SUITE B18, HENDERSON, NV 89015-6954
(702) 564-4440
(702) 558-1522
Mailing address
129 W LAKE MEAD PKWY, SUITE B18, HENDERSON, NV 89015-6954
(702) 564-4440
(702) 558-1522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000383
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRNA000383
STATE NURSING LICENSE
NV
01
—
RN68312
STATE NURSING LICENSE
NV
Enumeration date
06/16/2006
Last updated
05/26/2011
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