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NPI Code Detail

MEDICARE: LINDA KRAHULEC

MEDICARE: LINDA KRAHULEC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseRN038845AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003913559
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA KRAHULEC
Provider Business Mailing Address
First Line : 15002 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4441
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15002 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-4441
Country : US
Telephone Number : 602-867-5223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2006
Last Update Date : 07/09/2007

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Directions to “ LINDA KRAHULEC ” Practice Location

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