MEDICARE: LINDA ELD CRNP

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	363L00000X	Nurse Practitioner	VP004868B	PA

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	:	1821098369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ELD CRNP

Provider Business Mailing Address
First Line	:	50 BERRY ROAD
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301
Country	:	US
Telephone Number	:	724-222-1125
Fax Number	:	724-222-1373

Provider Business Practice Location Address
First Line	:	16490 W 78TH ST
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55346
Country	:	US
Telephone Number	:	952-934-5332
Fax Number	:	952-934-2647

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	03/07/2023

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Directions to “ LINDA ELD CRNP” Practice Location

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