Individual
LINDA VASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-RX AUTH
Contact information
Practice address
502 S OLD ORCHARD LN, SUITE 126, LEWISVILLE, TX 75067-4370
(972) 436-7962
(972) 353-5780
Mailing address
502 S OLD ORCHARD LN, SUITE 126, LEWISVILLE, TX 75067-4370
(972) 436-7962
(972) 353-5780
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
233522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079428-01
—
TX
05
—
1079428-02
—
TX
05
—
1079428-04
—
TX
Enumeration date
02/27/2009
Last updated
02/15/2011
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