Healthcare Provider Details

I. General information

NPI: 1669449609
Provider Name (Legal Business Name): LINDA K RIDING COHN-S
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIRCLE FORT CARSON
COLORADO SPRINGS CO
80913-4604
US

IV. Provider business mailing address

8855 TROTTENHAM CT
COLORADO SPRINGS CO
80920-7220
US

V. Phone/Fax

Practice location:
  • Phone: 719-516-3251
  • Fax: 719-526-7181
Mailing address:
  • Phone: 719-272-6722
  • Fax: 719-526-7181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number46649
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: