Doctor Name: | LINDA DIANE MAGGIORE |
NPI Number: | 1184930927 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 40789 |
Business Practice Address: | 2014 Blake Ave Glenwood Springs, CO - 816014229 |
Business Phone Number: | 9709456614 |
Business Fax Number: | 9709470155 |
Mailing Address: | 195 W 14th, RIFLE |
State: | CO |
Postal Code: | 816504700 |
Phone Number: | 9706255200 |
Fax Number: | 9706254804 |
NPI Enumeration Date: | 08/30/2010 |
NPI Last Update Date: | 08/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 40789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |