Healthcare Provider Details

I. General information

NPI: 1023094075
Provider Name (Legal Business Name): LINDA MARIE FIRNENO RN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3809 W 6200 S
KEARNS UT
84118-3725
US

IV. Provider business mailing address

228 LONDON RD
CENTERVILLE UT
84014-1927
US

V. Phone/Fax

Practice location:
  • Phone: 801-963-4320
  • Fax: 801-963-4284
Mailing address:
  • Phone: 801-292-3220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number204799-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: