Healthcare Provider Details

I. General information

NPI: 1487454856
Provider Name (Legal Business Name): LINDA CAROL DUVALL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2025
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 WOODMAN DR
DAYTON OH
45432-1400
US

IV. Provider business mailing address

1764 LOCH NESS CT
BEAVERCREEK OH
45432-2448
US

V. Phone/Fax

Practice location:
  • Phone: 937-528-2288
  • Fax: 937-938-7134
Mailing address:
  • Phone: 937-313-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038117
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: