Doctor Name: | MRS. JANICE LINEHAN |
NPI Number: | 1912991332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30005397 |
Business Practice Address: | 509 E Main Ave Chewelah, WA - 991098964 |
Business Phone Number: | 5099356001 |
Business Fax Number: | 5099354196 |
Mailing Address: | 509 E Main Ave, CHEWELAH |
State: | WA |
Postal Code: | 991098964 |
Phone Number: | 5099356001 |
Fax Number: | 5099354196 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30005397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |