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NPI Code Detail

MEDICARE: MS. LINDA ROSS CFNP

MEDICARE: MS. LINDA ROSS CFNP
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
1363LF0000XFamily Nurse Practitioner210P200XNM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NM026408OTHERNMBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3QMYPRO0074146OTHERNMMOLINA
410000294OTHERLOVELACE HEALTHCARE
5202014953OTHERPRESBYTERIAN HEALTH PLAN

General Provider Information

NPI Number : 1902918923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ROSS CFNP
Provider Business Mailing Address
First Line : 4001 RODEO RD
Second Line : MEDICAL STAFF OFFICE
City : SANTA FE
State : NM
Zip : 87507-4830
Country : US
Telephone Number : 505-417-8994
Fax Number :
Provider Business Practice Location Address
First Line : 4001 RODEO RD
Second Line : MEDICAL STAFF OFFICE
City : SANTA FE
State : NM
Zip : 87507-4830
Country : US
Telephone Number : 505-417-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/27/2012

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