MEDICARE: LINDA M MESTLER FNP

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
1	363L00000X	Nurse Practitioner	F1921	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437121241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA M MESTLER FNP

Provider Business Mailing Address
First Line	:	811 W MAIN ST
Second Line	:	SUITE 100
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2507
Country	:	US
Telephone Number	:	803-358-6100
Fax Number	:	803-358-6167

Provider Business Practice Location Address
First Line	:	811 W MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-2507
Country	:	US
Telephone Number	:	803-358-6100
Fax Number	:	803-358-6167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	01/22/2015

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Directions to “ LINDA M MESTLER FNP” Practice Location

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