Linley O'Hara, RN

Individual provider Active NPI Registered Nurse · Monett, MO

NPI 1255873014 · NPPES record last updated Nov 10, 2016

Key facts

NPI
1255873014
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2014004766 (MO)
Practice address
411 3Rd St
Monett, MO 65708-2008
Phone
(417) 476-1000
Fax
(417) 476-1082
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
2014004766MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Community Mentalhealth Center Past Accepting new patients
Clark Community Mental Health Center Past
since Mar 25, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2014004766 MO Yes

Addresses

Primary practice location

411 3Rd St
Monett, MO 65708-2008

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1000

Other providers in Monett, MO

All providers in Monett, MO · Registered Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.