MEDICARE: LINDA APPLEBY NURSE PRACTITIONER

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	349145	CA

General Provider Information

NPI Number	:	1598735193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA APPLEBY NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	1853 CATHEDRAL GLN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92029-3030
Country	:	US
Telephone Number	:	760-746-4032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 PARK FORTY PLZ
Second Line	:	SUITE 280
City	:	DURHAM
State	:	NC
Zip	:	27713-5249
Country	:	US
Telephone Number	:	919-768-4642
Fax Number	:	919-382-5172

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	07/08/2007

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