Individual
NANCY LINEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15400 FOOTHILL BLVD BLDG C, SAN LEANDRO, CA 94578-1009
(510) 618-3137
Mailing address
15400 FOOTHILL BLVD BLDG C, SAN LEANDRO, CA 94578-1009
(510) 618-3137
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
261019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N6481766
DEPARTMENT OF MOTOR VEHICLES
CA
Enumeration date
04/14/2021
Last updated
04/14/2021
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