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NPI Code Detail

MEDICARE: MRS. LINDA MARIE FIRNENO RN LPC

MEDICARE: MRS. LINDA MARIE FIRNENO RN LPC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse204799-3102UT

General Provider Information

NPI Number : 1023094075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA MARIE FIRNENO RN LPC
Provider Business Mailing Address
First Line : 228 LONDON RD
Second Line :
City : CENTERVILLE
State : UT
Zip : 84014-1927
Country : US
Telephone Number : 801-292-3220
Fax Number :
Provider Business Practice Location Address
First Line : 3809 W 6200 S
Second Line :
City : KEARNS
State : UT
Zip : 84118-3725
Country : US
Telephone Number : 801-963-4320
Fax Number : 801-963-4284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/08/2007

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