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NPI Code Detail

MEDICARE: EVA LINDEN NP

MEDICARE:   EVA  LINDEN  NP
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
1163W00000XRegistered Nurse6579981NY
2163W00000XRegistered Nurse0260091569VT
3163W00000XRegistered Nurse111696CT
4363LF0000XFamily Nurse Practitioner33 338593NY
5363LF0000XFamily Nurse Practitioner101.0103365VT

General Provider Information

NPI Number : 1720429145
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA LINDEN NP
Provider Business Mailing Address
First Line : 1823 VT RTE 107
Second Line :
City : BETHEL
State : VT
Zip : 05032-9107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1823 VT RTE 107
Second Line :
City : BETHEL
State : VT
Zip : 05032-9107
Country : US
Telephone Number : 802-234-9913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2013
Last Update Date : 08/03/2016

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Directions to “ EVA LINDEN NP” Practice Location

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