Individual
LINDA GAIL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
77 ANTOSKI RD, GALENA, AK 99741
(907) 656-1366
Mailing address
1124 W RIVERSIDE AVE STE 400, SPOKANE, WA 99201-1109
(385) 590-0044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 1804892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004593200
—
FL
Enumeration date
01/10/2011
Last updated
12/09/2021
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