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NPI Code Detail

MEDICARE: MRS. LINDA CAROL MCINTOSH APRN

MEDICARE: MRS. LINDA CAROL MCINTOSH APRN
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
1363LF0000XFamily Nurse PractitionerAO1444AR

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 : 1588668461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA CAROL MCINTOSH APRN
Provider Business Mailing Address
First Line : PO BOX 497
Second Line :
City : AUGUSTA
State : AR
Zip : 72006-0497
Country : US
Telephone Number : 870-347-2534
Fax Number : 501-305-3535
Provider Business Practice Location Address
First Line : 406 RODGERS DR
Second Line :
City : SEARCY
State : AR
Zip : 72143-7433
Country : US
Telephone Number : 501-279-7979
Fax Number : 501-305-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/27/2014

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