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NPI Code Detail

MEDICARE: LINDA M ROSS PEDERSEN ARNP

MEDICARE: LINDA M ROSS PEDERSEN ARNP
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
1367500000XCertified Registered Nurse AnesthetistARNP1927642FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2430051711OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G0375OTHERFLBC/BS FL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700850575
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA M ROSS PEDERSEN ARNP
Provider Business Mailing Address
First Line : PO BOX 162264
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32716-2264
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4101 EVANS AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9310
Country : US
Telephone Number : 941-792-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 10/04/2024

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