MEDICARE: LINDA MCINTYRE

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
1	363LF0000X	Family Nurse Practitioner	ARNP.AP.70029248-NP	WA
2	363LF0000X	Family Nurse Practitioner	201602597NP-PP	OR
3	363LF0000X	Family Nurse Practitioner	2016007859	MO

General Provider Information

NPI Number	:	1437510765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MCINTYRE

Provider Business Mailing Address
First Line	:	505 E CLINTON ST
Second Line	:
City	:	CLINTON
State	:	MO
Zip	:	64735-2233
Country	:	US
Telephone Number	:	660-351-0995
Fax Number	:

Provider Business Practice Location Address
First Line	:	2846 WILLAMETTE ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-8200
Country	:	US
Telephone Number	:	541-222-8700
Fax Number	:	541-222-8701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	05/28/2026

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Directions to “ LINDA MCINTYRE ” Practice Location

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