Healthcare Provider Details

I. General information

NPI: 1285828103
Provider Name (Legal Business Name): LINDA CAHILL NPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2007
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 E MAIN ST
AVON MA
02322-1413
US

IV. Provider business mailing address

21 E MAIN ST
AVON MA
02322-1413
US

V. Phone/Fax

Practice location:
  • Phone: 508-586-1046
  • Fax: 508-580-1116
Mailing address:
  • Phone: 508-586-1046
  • Fax: 508-580-1116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number167709
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: