Individual
MRS. LATASHA RENEE LINDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
35103 EVANSTON AVE, STERLING HEIGHTS, MI 48312-3840
(313) 318-2789
Mailing address
35103 EVANSTON AVE, STERLING HEIGHTS, MI 48312-3840
(313) 318-2789
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704295560
MI
367A00000X
Advanced Practice Midwife
4704295560NSA2310J
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4074295560
—
MI
Enumeration date
09/07/2021
Last updated
11/05/2024
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