Healthcare Provider Details
I. General information
NPI: 1235600651
Provider Name (Legal Business Name): LINNEA HOPE DELUNA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/10/2018
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 N WENATCHEE AVE STE 214
WENATCHEE WA
98801-2283
US
IV. Provider business mailing address
25 N WENATCHEE AVE STE 214
WENATCHEE WA
98801-2283
US
V. Phone/Fax
- Phone: 253-528-6091
- Fax:
- Phone: 253-528-6091
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0705X |
| Taxonomy | Medical-Surgical Registered Nurse |
| License Number | RN60685890 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0705X |
| Taxonomy | Medical-Surgical Registered Nurse |
| License Number | 28215281A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP60929791 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: