MEDICARE: MRS. LINDA S EARL NP-C

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	208531-4405	UT

Other Identifiers

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

General Provider Information

NPI Number	:	1548262769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA S EARL NP-C

Provider Business Mailing Address
First Line	:	5844 S 920 E
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84121-1604
Country	:	US
Telephone Number	:	801-451-3373
Fax Number	:	801-451-3144

Provider Business Practice Location Address
First Line	:	50 E STATE ST
Second Line	:
City	:	FARMINGTON
State	:	UT
Zip	:	84025-2343
Country	:	US
Telephone Number	:	801-451-3373
Fax Number	:	801-451-3144

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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