MEDICARE: DR. LINDA ANN ADDANTE M.D.

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	2084P0800X	Psychiatry Physician	7143	NH
2	2084P0800X	Psychiatry Physician	042.0012231	VT

General Provider Information

NPI Number	:	1710266622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA ANN ADDANTE M.D.

Provider Business Mailing Address
First Line	:	31 MCKENNA RD
Second Line	:
City	:	NORWICH
State	:	VT
Zip	:	05055-9426
Country	:	US
Telephone Number	:	802-649-5286
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CAMPUS CENTER RD
Second Line	:	KIMBALL UNION ACADEMY HEALTH CENTER
City	:	MERIDEN
State	:	NH
Zip	:	03770-5402
Country	:	US
Telephone Number	:	603-469-2055
Fax Number	:

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

Provider Enumeration Date	:	08/09/2011
Last Update Date	:	01/09/2013

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