Doctor Name: | LINDA BREIDIGAM |
NPI Number: | 1366605743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP0065528B |
Business Practice Address: | 14351 Kutztown Rd Fleetwood, PA - 195229273 |
Business Phone Number: | 6109448800 |
Business Fax Number: | 6109448213 |
Mailing Address: | Po Box 1754, ALLENTOWN |
State: | PA |
Postal Code: | 181051754 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 12/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | UP0065528B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |