Healthcare Provider Details

I. General information

NPI: 1851388342
Provider Name (Legal Business Name): LINDA C MCDANOLDS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 02/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19942 ST. JOSEPH DRIVE
CENTERVILLE IA
52544-8849
US

IV. Provider business mailing address

1223 S GEAR AVE
W BURLINGTON IA
52655-1682
US

V. Phone/Fax

Practice location:
  • Phone: 641-856-8684
  • Fax: 614-856-3009
Mailing address:
  • Phone: 319-768-3240
  • Fax: 319-768-3245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30006829
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH-099087
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00117417
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: