Healthcare Provider Details

I. General information

NPI: 1548560238
Provider Name (Legal Business Name): LINDA L NAUSS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 N 21ST ST SUITE 100
CAMP HILL PA
17011-2207
US

IV. Provider business mailing address

2132 RIVER RD
BAINBRIDGE PA
17502-9304
US

V. Phone/Fax

Practice location:
  • Phone: 717-761-0930
  • Fax: 717-761-0465
Mailing address:
  • Phone: 717-761-0930
  • Fax: 717-761-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN528212L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: