Individual
LINDA DEANNE DURST-OTTMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1328 HIGHWAY 16S, FREDERICKSBURG, TX 78624
(830) 997-9503
(830) 997-4320
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
82809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82809
LVN LICENSE
TX
Enumeration date
01/11/2007
Last updated
07/08/2007
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