Individual
MS. LINDA PERSONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 EAST ROOSEVELT STREET, PHOENIX, AZ 85008
(602) 629-6511
Mailing address
4825 E. ROOSEVELT STREET, PHOENIX, AZ 85008
(602) 629-6511
(602) 629-6458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN078647
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN078647
—
KS
Enumeration date
04/20/2007
Last updated
07/08/2007
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