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Individual

MRS. LINDA M. WELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
Mailing address
7095S PALMYRA RD, CANFIELD, OH 44406-9794
(330) 360-0690

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.128916
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000602887
ANTHEM BCBS
OH
05
0764472
OH
01
082627ZB29
MEDICARE PTAN
PA
01
P00761210
MEDICARE RAILROAD
PA
Enumeration date
06/02/2006
Last updated
06/18/2019
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