Healthcare Provider Details

I. General information

NPI: 1437220548
Provider Name (Legal Business Name): LINDA NEWDAY LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2748 MILTON WAY STE 211
MILTON WA
98354-9379
US

IV. Provider business mailing address

PO BOX 1922
MILTON WA
98354-1922
US

V. Phone/Fax

Practice location:
  • Phone: 253-874-2281
  • Fax: 253-874-2281
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA00001673
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: