Individual
LINDA LARAMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0562
(480) 472-0796
Mailing address
64 N 63RD ST UNIT 8, MESA, AZ 85205-8943
(480) 472-3979
(480) 472-3999
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN067229
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744426
—
AZ
Enumeration date
03/23/2007
Last updated
07/09/2007
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