Healthcare Provider Details

I. General information

NPI: 1972575975
Provider Name (Legal Business Name): LINDA C. STOVER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 N SCOTTSDALE RD STE 104
TEMPE AZ
85288-2116
US

IV. Provider business mailing address

COLLEGE DRIVE URGENT CARE, LLC WY-4140A LARAMIE ST.
CHEYENNE WY
82001-1969
US

V. Phone/Fax

Practice location:
  • Phone: 480-924-8382
  • Fax: 480-966-0566
Mailing address:
  • Phone: 480-353-2210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number66554
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN104862
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN104862
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: