1639325384 NPI number — MRS. LINDSAY MARIE TRUAX R.N. BSN

Table of content: MRS. LINDSAY MARIE TRUAX R.N. BSN (NPI 1639325384)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639325384 NPI number — MRS. LINDSAY MARIE TRUAX R.N. BSN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRUAX
Provider First Name:
LINDSAY
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.N. BSN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639325384
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CMR 416, BOX 354
Provider Second Line Business Mailing Address:
LINDSAY TRUAX HHC 2-159
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09140-0354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 WITTENBERGER STRASSE
Provider Second Line Business Practice Location Address:
BUILDING 24
Provider Business Practice Location Address City Name:
BAD WINDSHEIM
Provider Business Practice Location Address State Name:
BAVARIA
Provider Business Practice Location Address Postal Code:
91438
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
09146823815
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP2201X , with the licence number:  1-115566 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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