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NPI Code Detail

MEDICARE: LINDA RASMUSSEN M.S.N.

MEDICARE: LINDA RASMUSSEN M.S.N.
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
1363LA2200XAdult Health Nurse Practitioner4704245719MI

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 : 1841296613
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA RASMUSSEN M.S.N.
Provider Business Mailing Address
First Line : 1719 S GARFIELD AVE
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-4337
Country : US
Telephone Number : 231-935-0799
Fax Number : 231-935-0962
Provider Business Practice Location Address
First Line : 1719 S GARFIELD AVE
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-4337
Country : US
Telephone Number : 231-935-0799
Fax Number : 231-935-0962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 04/07/2017

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Directions to “ LINDA RASMUSSEN M.S.N.” Practice Location

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