Provider Demographics
NPI:1487955365
Name:LINDO, KATIE NICOLA (LPN)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:NICOLA
Last Name:LINDO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 CARPENTER AVE
Mailing Address - Street 2:APT. 5F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3744
Mailing Address - Country:US
Mailing Address - Phone:347-961-1552
Mailing Address - Fax:
Practice Address - Street 1:3940 CARPENTER AVE
Practice Address - Street 2:APT. 5F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3744
Practice Address - Country:US
Practice Address - Phone:347-961-1552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269932-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse