Linda Groom, RN
Individual provider Active NPI Community Health Registered Nurse · Benson, AZ
NPI 1154585818 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1154585818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN066905 (AZ)
- Practice address
- 470 S Ocotillo Ave
Benson, AZ 85602-6403 - Phone
- (520) 287-4713
- Fax
- (520) 287-9794
- NPI assigned
- Jul 11, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN066905 | AZ | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN066905 | AZ | Yes |
Addresses
Primary practice location
470 S Ocotillo Ave
Benson, AZ 85602-6403
Mailing address
470 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 287-4713
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN066905 | Other | AZ | RN |
Other providers in Benson, AZ
- Golden Touch ABA Az, LLC
- Christine Grassley
- Michael R Gray
- Kim Anderson Greenwood
- Grey Ventures, LLC
- Mayra Guzman-Lopez
- Debra Rouse Haber
- Cassandra Clare Harrison
- Barbara H Hartley
- Healing Ways PLLC
All providers in Benson, AZ · Community Health Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. 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.