Doctor Name: | LINDA KAY GEHRKE |
NPI Number: | 1720084387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 036438 |
Business Practice Address: | 324 E Maple St Hubbard, IA - 501227725 |
Business Phone Number: | 6418643301 |
Business Fax Number: | 6418643304 |
Mailing Address: | Po Box 487, HUBBARD |
State: | IA |
Postal Code: | 501220487 |
Phone Number: | 6418643301 |
Fax Number: | 6418643304 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/17/2007 |
NPI Reactivation Date: | 12/04/2007 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 036438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |