MEDICARE: LINDA ANN PRATSON ARNP

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	363LW0102X	Women's Health Nurse Practitioner	2783392	FL

General Provider Information

NPI Number	:	1831449453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA ANN PRATSON ARNP

Provider Business Mailing Address
First Line	:	250 SE 10TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-8828
Country	:	US
Telephone Number	:	954-876-0492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2466 E COMMERCIAL BLVD STE 101
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4011
Country	:	US
Telephone Number	:	954-776-4877
Fax Number	:	954-776-1399

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	09/11/2012

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