Healthcare Provider Details

I. General information

NPI: 1598945008
Provider Name (Legal Business Name): NANCY LEE LINTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S QUEEN ST
MARTINSBURG WV
25401-3233
US

IV. Provider business mailing address

1403 WELLTOWN SCHOOL RD
MARTINSBURG WV
25403-5814
US

V. Phone/Fax

Practice location:
  • Phone: 304-267-3500
  • Fax:
Mailing address:
  • Phone: 304-263-8464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number47536
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: