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NPI Code Detail

MEDICARE: LINDA L PICKHARTZ NP

MEDICARE: LINDA L PICKHARTZ NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP17866CA

General Provider Information

NPI Number : 1386821452
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA L PICKHARTZ NP
Provider Business Mailing Address
First Line : 1262 E NORTH ST
Second Line :
City : MANTECA
State : CA
Zip : 95336-4962
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1262 E NORTH ST
Second Line :
City : MANTECA
State : CA
Zip : 95336-4962
Country : US
Telephone Number : 209-823-7646
Fax Number : 209-824-5374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 01/30/2008

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Directions to “ LINDA L PICKHARTZ NP” Practice Location

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