| Doctor Name: | MRS. LINDA MARIE LONGBOTTOM |
| NPI Number: | 1104094937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 95000750 |
| Business Practice Address: | 1081 N China Lake Blvd Ridgecrest, CA - 935553130 |
| Business Phone Number: | 7604997270 |
| Business Fax Number: | 7604997274 |
| Mailing Address: | 1081 N China Lake Blvd, RIDGECREST |
| State: | CA |
| Postal Code: | 935553130 |
| Phone Number: | 7604997270 |
| Fax Number: | 7604997274 |
| NPI Enumeration Date: | 02/14/2008 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95000750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |