Healthcare Provider Details

I. General information

NPI: 1730053000
Provider Name (Legal Business Name): LINDA NKETIAA BAFFOE-TWUM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 HOMESTEAD RD
SANTA CLARA CA
95051-4542
US

IV. Provider business mailing address

35561 PURCELL PL
FREMONT CA
94536-3351
US

V. Phone/Fax

Practice location:
  • Phone: 408-851-4920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number726291
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: