Doctor Name: | LINDA MCDERMOTT |
NPI Number: | 1093083404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 083651 |
Business Practice Address: | 716 2nd St Evansdale, IA - 507072122 |
Business Phone Number: | 3198838075 |
Business Fax Number: | |
Mailing Address: | 716 2nd St, EVANSDALE |
State: | IA |
Postal Code: | 507072122 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 083651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |