Healthcare Provider Details

I. General information

NPI: 1568204048
Provider Name (Legal Business Name): LINDA JOY MARKOWITZ GILBERT RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 BROADWAY STE 200
TACOMA WA
98402-3400
US

IV. Provider business mailing address

6980 NE TAHUYA BLACKSMITH RD
BELFAIR WA
98528-8778
US

V. Phone/Fax

Practice location:
  • Phone: 360-277-8493
  • Fax:
Mailing address:
  • Phone: 360-277-8493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number60104477
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: