Individual
LINDA JOANNE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 BOWMAN DR, VOORHEES, NJ 08043-9612
(865) 237-3831
Mailing address
100 BOWMAN DR, VOORHEES, NJ 08043-9612
(865) 237-3831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
350255
NY
363LN0000X
Neonatal Nurse Practitioner
Primary
SP010455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02523779
—
NY
Enumeration date
10/17/2006
Last updated
12/17/2014
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