MEDICARE: MRS. LINDA BARBARA LEE-BARDOWSKI MS, ARNP-C

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	163W00000X	Registered Nurse	RN-239598-L	PA
2	163W00000X	Registered Nurse	26NR11525000	NJ
3	363LF0000X	Family Nurse Practitioner	ARNP 2649762	FL

General Provider Information

NPI Number	:	1922060904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA BARBARA LEE-BARDOWSKI MS, ARNP-C

Provider Business Mailing Address
First Line	:	6239 BENNINGTON ST
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34224-8487
Country	:	US
Telephone Number	:	941-473-1625
Fax Number	:

Provider Business Practice Location Address
First Line	:	21281 GRAYTON TER
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33954-3109
Country	:	US
Telephone Number	:	941-235-2710
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	09/11/2025

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