Wanda Kay Linebarger, APN
Individual provider Active NPI Women's Health Nurse Practitioner · Harrisburg, AR
NPI 1730144585 · NPPES record last updated Feb 19, 2013
Key facts
- NPI
- 1730144585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- AO1062 (AR)
- Practice address
- 119 N Main St
Harrisburg, AR 72432-1929 - Phone
- (870) 578-4480
- Fax
- (870) 578-9270
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO1062 | AR | MD | Women's Health Nurse Practitioner |
| PO1333 | AR | MD | Women's Health Nurse Practitioner |
| R29142 | AR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Arkansas | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AO1062 | AR | Yes |
| Women's Health Nurse Practitioner | 363LW0102X | PO1333 | AR | |
| Women's Health Nurse Practitioner | 363LW0102X | R29142 | AR |
Addresses
Primary practice location
119 N Main St
Harrisburg, AR 72432-1929
Mailing address
119 N Main St
Harrisburg, AR 72432-1929
Phone (870) 578-4480
Other providers in Harrisburg, AR
- Keely Imboden
- Natalie Kristene Jackson
- Pierce Jackson
- Let'S Talk Therapy LLC
- Lifeline Paramedics Inc
- Bridgette L. Loggains
- Haley Jo Lovell
- Sherry McCrary
- Janee McElhanon
- Elton Oliver McLendon II
All providers in Harrisburg, AR · Women's Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.