Healthcare Provider Details

I. General information

NPI: 1235608589
Provider Name (Legal Business Name): DAVID L LINTON NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8870 S MARYLAND PKWY STE 115
LAS VEGAS NV
89123-4009
US

IV. Provider business mailing address

527 LAVINA CT
LAS VEGAS NV
89123-0626
US

V. Phone/Fax

Practice location:
  • Phone: 702-359-4510
  • Fax: 702-827-7841
Mailing address:
  • Phone: 702-701-0165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number813541
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number813541
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number813541
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number813541
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: