Linda Lou Brown, LPN
Individual provider Active NPI Licensed Practical Nurse · Hunt, NY
NPI 1043416183 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043416183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 236164-1 (NY)
- Practice address
- 10809 Davis Rd
Hunt, NY 14846-9607 - Phone
- (585) 567-8158
- Fax
- (585) 567-4107
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236164-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 236164-1 | NY | Yes |
Addresses
Primary practice location
10809 Davis Rd
Hunt, NY 14846-9607
Mailing address
10809 Davis Rd
Hunt, NY 14846-9607
Phone (585) 567-8158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02738365 | Medicaid | NY |
Other names
- Mrs. Linda Lou Brown
Other providers in Hunt, NY
All providers in Hunt, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.