Healthcare Provider Details

I. General information

NPI: 1265362644
Provider Name (Legal Business Name): JONI BROOKE CHADEZ-LINDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BROOKE LINDER

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 ARTHUR ST STE 116
CALDWELL ID
83605-3724
US

IV. Provider business mailing address

11329 W RIVER RD
CALDWELL ID
83607-5381
US

V. Phone/Fax

Practice location:
  • Phone: 208-989-5093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28642
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: