Provider Demographics
NPI:1174661243
Name:LINDQUIST, ELIZABETH LAYNE (RN)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LAYNE
Last Name:LINDQUIST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 401 BOX # 776
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09076
Mailing Address - Country:DE
Mailing Address - Phone:01149605-891-7906
Mailing Address - Fax:
Practice Address - Street 1:BLDG 245 NEW ARGONER KASSERNE
Practice Address - Street 2:
Practice Address - City:HANAU
Practice Address - State:HESSEN
Practice Address - Zip Code:63457
Practice Address - Country:DE
Practice Address - Phone:011496181-500-6627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000155385163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse