Individual
MS. LINDA CAROL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3916 GATEWAY DR, C1, PHILADELPHIA, PA 19145-5974
(215) 400-0219
Mailing address
3916 GATEWAY DR, C1, PHILADELPHIA, PA 19145-5974
(215) 400-0219
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN525166L
PA
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
SP007395
PA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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