Healthcare Provider Details

I. General information

NPI: 1033000468
Provider Name (Legal Business Name): LINDA ANDERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 SUMMER ST
SOUTH WALPOLE MA
02071-1042
US

IV. Provider business mailing address

87 SUMMER ST
SOUTH WALPOLE MA
02071-1042
US

V. Phone/Fax

Practice location:
  • Phone: 774-226-6577
  • Fax:
Mailing address:
  • Phone: 774-226-6577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberRN2286498
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN2286498
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: