Doctor Name: | MS. LINDA LEE GADOURY |
NPI Number: | 1205804218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | RN14971 |
Business Practice Address: | 1130 Ten Rod Rd The Meadows Bldg D 305a North Kingstown, RI - 028524161 |
Business Phone Number: | 4012948231 |
Business Fax Number: | |
Mailing Address: | 54 Sharpe St, WEST GREENWICH |
State: | RI |
Postal Code: | 028172100 |
Phone Number: | 4013973750 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | RN14971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |