MEDICARE: LINDA CHEA LA 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
1	363LA2100X	Acute Care Nurse Practitioner	5204	CT

General Provider Information

NPI Number	:	1558615153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA CHEA LA NP

Provider Business Mailing Address
First Line	:	40 S MAIN ST STE 1300
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38103-5513
Country	:	US
Telephone Number	:	866-949-0108
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 ASYLUM ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06103-3408
Country	:	US
Telephone Number	:	833-749-2009
Fax Number	:

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

Provider Enumeration Date	:	11/04/2012
Last Update Date	:	04/12/2023

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