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NPI Code Detail

MEDICARE: MRS. LINDA YAYA KALLE PMHNP

MEDICARE:  MRS. LINDA YAYA KALLE  PMHNP
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
1374U00000XHome Health Aide
2363LP0808XPsychiatric/Mental Health Nurse PractitionerR218333MD

General Provider Information

NPI Number : 1538420807
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA YAYA KALLE PMHNP
Provider Business Mailing Address
First Line : 2803 LAKE FOREST DR
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-8946
Country : US
Telephone Number : 301-318-3963
Fax Number :
Provider Business Practice Location Address
First Line : 1400 MERCANTILE LN STE 252
Second Line :
City : LARGO
State : MD
Zip : 20774-5333
Country : US
Telephone Number : 240-324-8968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 09/15/2022

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