Healthcare Provider Details

I. General information

NPI: 1376636589
Provider Name (Legal Business Name): LINDA E ZACHARY MSN, RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax: 216-421-3066
Mailing address:
  • Phone: 216-791-3800
  • Fax: 216-421-3066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP-04273
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: